UM Administration Coordinator

@ Humana

Overview

Become a part of our caring community at Humana and help us put health first. The UM Administration Coordinator contributes to the administration of utilization management and care management, providing non-clinical support to assess and guide members toward optimal wellness.

Key Responsibilities

This role involves performing computations, handling varied administrative, operational, and customer support assignments. You will work on semi-routine tasks with some latitude over prioritization and timing while following standard policies and practices.

• Provide administrative support for utilization management and care management
• Interpret and enforce department policies
• Handle computations and routine assignment tasks
• Support customer interactions and member guidance
• Work under minimal direction in a structured environment

Required Qualifications

• Residence in Greater Chicago area/suburban Cook or nearby counties
• 2+ years of administrative support in healthcare
• 1+ years of customer service experience
• Experience with Medicaid, Long Term Care, or Medicare members
• Intermediate to advanced Microsoft Office skills (Word, Excel, Outlook)

Preferred Qualifications

• Associate's degree minimum
• Billing/claims or authorization experience
• Experience with electronic medical record systems and documentation
• Familiarity with medical terminology and ICD-10 codes
• Experience with Utilization Review or Prior Authorization

Work Details

The position is hybrid with a requirement to work in the Schaumburg, IL office at least two days per week. Regular hours are Monday through Friday, 8:00 AM – 5:00 PM with overtime flexibility.

Additional Information

This role includes use of HireVue for interviewing, and Humana offers competitive benefits including medical, dental, vision, and retirement savings plans.

Key skills/competency

• Utilization Management
• Health Administration
• Customer Service
• Microsoft Office
• Medicaid
• Billing
• Claims
• Documentation
• Prior Authorization
• Care Management