Appeals Back End UM Admin Coordinator
New
H
HumanaHealthcare Administration
United StatesFull-TimeEntry
Salary39,000 - 49,400 USD per year
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Job Details
- Required Skills
- Microsoft ExcelCustomer serviceData entry
Requirements
- Experience providing administrative, operational, customer service, or technical support in a professional environment.
- Strong verbal and written communication skills with the ability to interact effectively with diverse audiences.
- Proficiency with Microsoft Office applications, including Word, Excel, and Outlook.
- Ability to work independently in a remote environment.
- Maintain a reliable internet connection (minimum 25 Mbps download/10 Mbps upload).
- Strong organizational skills and attention to detail.
- Ability to manage multiple priorities in a fast-paced setting.
- Commitment to delivering exceptional service and improving member experiences.
- Experience using EMR, healthcare documentation, or case management systems (preferred).
- Familiarity with medical terminology, healthcare coding, or ICD-10 (preferred).
- Associate's or bachelor's degree in a related field (preferred).
- Experience supporting Utilization Management or related healthcare operations (preferred).
Responsibilities
- Provide administrative support for utilization management (UM) programs and processes.
- Review, process, and maintain information and records accurately and in a timely manner.
- Coordinate communications with internal teams and external stakeholders.
- Support operational activities that help facilitate appropriate care and service delivery for members.
- Follow established policies, procedures, and work instructions to complete assigned tasks.
- Prioritize workload, maintain quality standards, and meet performance expectations.
- Collaborate effectively with team members to support departmental and business objectives.
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