Humana logo
Humana

Louisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to off

UM Administration Coordinator – Kentucky Medicaid

Location

Kentucky + 3 moreAll locations: Kentucky | Ohio | Virginia | West Virginia

Posted

13 hours ago

Salary

$40K - $52.3K / year

Seniority

Junior

Bachelor Degree1 yr expEnglish

Job Description

UM Administration Coordinator – Kentucky Medicaid

Humana

• contribute to the administration of utilization management • perform varied activities and moderately complex administrative/operational/customer support assignments • provide non-clinical support for the policies and procedures ensuring best treatment, care or services for members • follow standard policies/practices that allow for some opportunity for interpretation/deviation • work within defined parameters to identify work expectations and quality standards

Job Requirements

  • Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia.
  • One (1) or more years administrative or technical support experience.
  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment.
  • Proficient using electronic medical record and documentation programs.
  • Proficient 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.
  • 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, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
  • many other opportunities

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