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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

Administration Coordinator – Prior Authorizations

Location

United States

Posted

120 days ago

Salary

$40K - $52.3K / year

Seniority

Junior

Bachelor Degree1 yr expEnglish

Job Description

Administration Coordinator – Prior Authorizations

Humana

• 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.

Job 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

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