UM Administration Coordinator-2

📋 Description

• • The UM Administration Coordinator 2 contributes to the administration of utilization management by performing basic administrative, operational, customer support, and computational tasks on semi-routine and patterned assignments, ensuring best treatment, care, or services for members through non-clinical support following established procedures.
• • Day-to-day responsibilities include completing inbound and outbound provider calls to answer utilization management-related questions, preparing authorization requests for clinical review, documenting calls and attaching clinical information to member medical records, creating written correspondence, and collaborating with multiple roles, departments, providers, and team members.
• • Humana Inc. is a leading U.S. healthcare company dedicated to improving consumer experiences through its insurance services and CenterWell healthcare services, serving millions of people with Medicare and Medicaid, families, individuals, military personnel, and communities by delivering care when and where it’s needed.
• • In this role, the individual will develop strong administrative and communication skills, gain experience in healthcare operations and utilization management processes, and contribute meaningfully to improving member care coordination and access to services within a mission-driven organization.