UM Administration Coordinator - Clinical Claims Review
Company: Humana
Location: Tulsa
Posted on: November 17, 2023
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Job Description:
DescriptionThe UM Administration Coordinator 2 contributes to
administration of utilization management. The UM Administration
Coordinator 2 performs basic administrative, clerical, operational,
customer support, and computational tasks working on semi-routine
and patterned assignments.ResponsibilitiesThe UM Administration
Coordinator 2 provides non-clinical support, following established
policies and procedures ensuring best and most appropriate
treatment, care, or services for members. -Prepares and forwards
authorization request to clinical reviewWorks within defined
parameters to identify work expectations and quality standards, but
has some autonomy over prioritization/timing, and works under
minimal direction.Must be passionate about contributing to an
organization focused on continuously improving consumer
experiences.
Key Responsibilities:
Workstyle: Remote work at homeLocation: -OklahomaSchedule:
Work at Home Guidance To ensure Home or Hybrid Home/Office
associates' ability to work effectively, the self-provided internet
service of Home or Hybrid Home/Office associates must meet the
following criteria:
Preferred Qualifications
Additional Information
Interview Format
As part of our hiring process for this opportunity, we will be
using an exciting interviewing technology called Montage Voice to
enhance our hiring and decision-making ability. Modern Hire Voice
allows us to quickly connect and gain valuable information from you
pertaining to your relevant skills and experience at a time that is
best for your schedule.
If you are selected for a first-round interview, you will receive
an email correspondence (please be sure to check your spam or junk
folders often to ensure communication isn't missed) inviting you to
participate in a Modern Hire Voice interview. In this interview,
you will listen to a set of interview questions over your phone,
and you will provide recorded responses to each question. You
should anticipate this interview to take about 15 to 30 minutes.
Your recorded interview will be reviewed, and you will subsequently
be informed if you will be moving forward to next round of
interviews.
If you have additional questions regarding this role posting,
please send them to the Ask A Recruiter persona by visiting go/Buzz
and searching Ask A Recruiter! Please be sure to provide the
requisition number so we may be able to research your request
quicker.
SSN AlertHumana values personal identity protection. Please be
aware that applicants may be asked to provide their Social Security
Number, if it is not already on file. When required, an email will
be sent from Humana@myworkday.com with instructions on how to add
the information into your official application on Humana's secure
website.
Benefits
Humana offers a variety of benefits to promote the best health and
well-being of our employees and their families. We design
competitive and flexible packages to give our employees a sense of
financial security-both today and in the future, including:Health
benefits effective day 1; Paid time off, holidays, volunteer time
and jury duty pay; Recognition pay; 401(k) retirement savings plan
with employer matchTuition assistance; Scholarships for eligible
dependents; Parental and caregiver leave; Employee charity matching
program; Network Resource Groups (NRGs)Career development
opportunities!
#L1-RemoteScheduled Weekly Hours40
Keywords: Humana, Tulsa , UM Administration Coordinator - Clinical Claims Review, Healthcare , Tulsa, Oklahoma
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