UM Administration Coordinator 2 - Remote Oklahoma

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Job Information
Humana
UM Administration Coordinator 2 - Remote, Oklahoma
in
Oklahoma City
Oklahoma
Description
The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Responsibilities
The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
Assists providers with discharge planning of inpatient and outpatient physical health members and/or inpatient and outpatient behavioral health members.
Works on special projects with the clinical team.
Provider facing responsibilities as assigned.
Required Qualifications
1 or more years of providing administrative support in a healthcare or related setting.
Prior member service or customer service telephone experience.
Excellent verbal and written communication skills.
Experience working in a fast paced environment.
Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
Must have a separate room with a locked door that can be used as a home office, to ensure you have absolute and continuous privacy while you work.
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.
Must reside in Oklahoma; Occasional travel to office for staff meetings, training, etc.
Preferred Qualifications
Knowledgeable with behavioral health resources in Oklahoma.
Proficient utilizing electronic medical record and documentation programs.
Proficient and/or experience with medical terminology and/or ICD-10 codes.
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization. 
Bilingual preferred (Spanish, Native Tribal, Vietnamese or other).
Additional Information
Benefits
: Effective on the 1st day of employment;
Medical, Dental & Vision, Competitive 401k match, Paid Time Off (PTO) accruals, Tuition Reimbursement, Parental Leave & much more....
Typical Days/Hours
: Monday - Friday; 8:00am - 5:00pm Central Standard Time (CST).
Travel:
Occasional travel to our Oklahoma City office location for staff meetings, training, etc.
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40

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