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UM Coordinator 2 - Weekend shift (Sat/Sun Required) - Work at home - CO, AZ or NM residence preferred

Job Description

The UM Coordinator 2 conducts and summarizes compliance audits. The UM Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Job Requirements

The UM Coordinator 2 collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Ensures mandatory reporting completed. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Ideal Skillset
Preferred applicants will have a clerical support background in a healthcare environment (Certified Nurse Aide, Medical Assistant, or medical coding is valuable), possess excellent phone etiquette, communication skills and demonstrate proficiency with MS Office products; particularly Word, Excel and Outlook.  This role requires mandatory Saturdays and Sundays with two days off during the week. Business hours are 8 am- 5 pm Mountain Time, however hours may vary based on schedule rotation and business need.
Responsibilities include:
Make outbound calls to engage members and/or providers to verify clinical information.


Document all calls and attach clinical information received.


Create and send out written correspondence.


Must be able to meet passing phone and documentation audit scores.


Must be able to meet standard metrics.


Must be a team player. Frequent collaboration will occur between nurses and medical directors.


Must be able to work with flexible scheduling and a demanding environment.
Required Qualifications



  • High School Diploma or equivalent

  • 1+ years of medical/healthcare or related administrative experience

  • Proficiency in Microsoft Office applications, including Word, Excel and Outlook 

  • Excellent verbal and written communication skills

  • Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance for Humana systems is 10Mx1M

  • Ability to provide a designated workspace; free from distractions with the ability to secure any protected information.

  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test


Preferred Qualifications



  • CO, AZ or NM residence preferred

  • Associate's or Bachelor's Degree in Business, Finance or a related field

  • Clerical support background in a healthcare environment

  • Familiarity with medical terminology and/or ICD-10 codes

  • Experience working in a call center environment a plus

  • CNA or Medical Assistant background a plus


Additional Information
The following policy applies ONLY to associates working in the state of Arizona:  Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates.  Effective April 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products.  If you have any questions, please consult with your recruiter.
Scheduled Weekly Hours
40

Job Snapshot

Location US-MT-Billings
Employment Type Full-Time Employee
Pay Type Year
Pay Rate N/A
Store Type Health Care, Insurance
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Company Overview

Humana

Throughout our 50-year history, Humana has always been one step ahead, constantly evolving with the changing world of healthcare. It is our proactive, forward-thinking approach that has allowed us to not only meet the needs of our customers, but also provide a challenging and exciting work experience for our associates.

Contact Information

US-MT-Billings

Snapshot
Humana
Company:
US-MT-Billings
Location:
Full-Time Employee
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care, Insurance
Store Type:

Job Description

The UM Coordinator 2 conducts and summarizes compliance audits. The UM Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Job Requirements

The UM Coordinator 2 collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Ensures mandatory reporting completed. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Ideal Skillset
Preferred applicants will have a clerical support background in a healthcare environment (Certified Nurse Aide, Medical Assistant, or medical coding is valuable), possess excellent phone etiquette, communication skills and demonstrate proficiency with MS Office products; particularly Word, Excel and Outlook.  This role requires mandatory Saturdays and Sundays with two days off during the week. Business hours are 8 am- 5 pm Mountain Time, however hours may vary based on schedule rotation and business need.
Responsibilities include:
Make outbound calls to engage members and/or providers to verify clinical information.


Document all calls and attach clinical information received.


Create and send out written correspondence.


Must be able to meet passing phone and documentation audit scores.


Must be able to meet standard metrics.


Must be a team player. Frequent collaboration will occur between nurses and medical directors.


Must be able to work with flexible scheduling and a demanding environment.
Required Qualifications



  • High School Diploma or equivalent

  • 1+ years of medical/healthcare or related administrative experience

  • Proficiency in Microsoft Office applications, including Word, Excel and Outlook 

  • Excellent verbal and written communication skills

  • Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance for Humana systems is 10Mx1M

  • Ability to provide a designated workspace; free from distractions with the ability to secure any protected information.

  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test


Preferred Qualifications



  • CO, AZ or NM residence preferred

  • Associate's or Bachelor's Degree in Business, Finance or a related field

  • Clerical support background in a healthcare environment

  • Familiarity with medical terminology and/or ICD-10 codes

  • Experience working in a call center environment a plus

  • CNA or Medical Assistant background a plus


Additional Information
The following policy applies ONLY to associates working in the state of Arizona:  Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates.  Effective April 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products.  If you have any questions, please consult with your recruiter.
Scheduled Weekly Hours
40

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UM Coordinator 2 - Weekend shift (Sat/Sun Required) - Work at home - CO, AZ or NM residence preferred Apply now