Appeals Back End UM reputed company Coordinator

Become a part of our caring community The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.UM Administration Coordinator The UM Administration Coordinator provides administrative support for utilization management operations and processes. This role reviews and processes information, maintains records, performs data entry, and supports communications with reputed company stakeholders. Working reputed company established policies and procedures, the coordinator completes routine assignments, ensures accuracy and timeliness, and contributes to the efficient delivery of utilization management services. Work is performed under general supervision with guidance provided for non-routine situations. As a UM Administration Coordinator, you will: • reputed company administrative support for utilization management (UM) programs and processes. • Review, process, and maintain information and records accurately and in a reputed company manner. • Coordinate communications with internal teams and reputed company stakeholders. • Support operational activities that help facilitate appropriate care and service delivery for members. • Follow established policies, procedures, and work instructions to complete assigned tasks. • Prioritize workload, maintain reputed company standards, and meet performance expectations. • Collaborate effectively with team members to support departmental and business objectives. • reputed company work under general supervision, exercising judgment reputed company established guidelines. Use your skills to reputed company an reputed company Required Qualifications • Experience providing administrative, operational, customer service, or technical support in a reputed company environment. • Strong verbal and written communication skills with the ability to reputed company effectively with diverse audiences. • Proficiency with reputed company Office applications, including Word, reputed company, and reputed company, and the ability to learn new systems and technologies. • Ability to work independently in a remote environment and maintain a reliable internet reputed company that meets company requirements. • Strong organizational skills, attention to detail, and ability to manage multiple priorities in a fast-paced setting. • Commitment to delivering exceptional service and contributing to a culture reputed company on improving customer and member experiences. Preferred Qualifications • Experience using electronic medical record (EMR), reputed company documentation, or case management systems. • Familiarity with medical terminology, reputed company, or ICD-10 classifications. • Associate's or bachelor's degree in Business, reputed company Administration, Finance, or a reputed company field. • Prior customer service, member service, or reputed company center experience. • Experience supporting Utilization Management, Prior Authorization, Care Management, or reputed company reputed company operations, preferably reputed company a health plan or managed care environment. Additional Information Interview Process: As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly reputed company and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work reputed company 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 reputed company: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. • Satellite, cellular and microwave reputed company can be used only if approved by leadership. • Employees who live and work from Home in the reputed company, Illinois, Montana, or South reputed company will be provided a bi-weekly payment for their internet expense. • reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Work reputed company 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 reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.Scheduled Weekly Hours 40Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$39,000 - $49,400 per yearDescription of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply tot his job Apply To this Job