Startups · AI

Utilization Management Administration Coordinator -- Home Health

human · Remote Nationwide · Remote

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About human

human is an ai-enabled dating app for those ready for love . . . now. we are changing the future of how people find their person. Backed by Techstars.

About the role

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Found on 1752vc Careers, the job board for startup and VC roles.

What they're looking for

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Strong customer service and verbal communication skills, including the ability to professionally manage a high volume of inbound telephone interactions
  • Comfort providing telephonic support while simultaneously navigating multiple systems, documenting interactions, and accurately processing information
  • Excellent organizational and time-management skills
  • Technical savvy and ability to navigate multiple systems and screens while working cases
  • Collaboration skills to effectively interact with multiple parties, both internal and external
More about this role

Full-Time, Remote Telephonic opportunity

The UM Administration Coordinator 2 supports the administration of utilization management by performing a variety of moderately complex administrative, operational, and customer service tasks.

Responsibilities may include significant telephonic interaction with providers, members, and other stakeholders, including receiving inbound calls, providing customer service, and supporting the intake of utilization management and prior authorization requests. Some associates may be assigned primarily or fully to telephonic responsibilities based on business needs.

Additional responsibilities may include creating and processing authorization cases, generating correspondence, triaging faxes and shared mailboxes, processing documentation, conducting calculations and data processing, and performing other administrative functions supporting utilization management. Specific work assignments may vary and may change over time based on business needs, volume, and operational priorities.

Assignments are generally semi-routine in nature.

The UM Administration Coordinator 2 provides non-clinical support for policies and procedures ensuring the best and most...

Read the full posting on human's site ↗

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