Administration Coordinator – Prior Authorizations

Role Overview

• contributes to administration of utilization management.
• performs varied activities and moderately complex administrative/operational/customer support assignments.
• provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
• provides exceptional customer service to providers, including completing all necessary paperwork, documentation and forms; meet or exceed monthly individual and team goals.
• acts in accordance with Humana's ethics and compliance policies and connects industry and regulatory changes to our strategy.
• meets established expectations and takes responsibility for achieving results; encourages others to do the same.
• employs focus, attention to detail, reliability, and appropriate prioritization to drive outcomes.
• sees opportunities to contribute and takes the initiative to create solutions.

Requirements

• 1+ years of administrative or technical support experience with a health plan, healthcare organization, or provider.
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
• Excellent verbal and written communication skills.
• Proficient utilizing electronic medical record and documentation programs
• Proficient and/or experience with medical terminology and/or ICD-10 codes
• Bachelor's Degree in Business, Finance or a related field
• Prior member service or customer service telephone experience desired
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance