[Remote] UM Coordinator 2 - Weekend Work at Humana

San Antonio, Texas, United States

Apply Now

Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Minimum 1 year of customer service experience, including the ability to effectively de-escalate challenging situations
After training, availability to work 4 days a week for 10-hour shifts during 6am–7pm EST, including at least one weekend day (Saturday or Sunday)
Excellent verbal and written communication skills
Demonstrated attention to detail
Ability to navigate process flows and follow procedure documents
Proficient keyboarding skills for data entry and documentation
Capacity to multitask across various computer systems while engaging with providers or members
Quick aptitude for learning and navigating new technology systems and applications
Proficiency in Microsoft Office applications, including Word and Excel
A designated workspace with a closed door that minimizes distractions and meets leadership approval
Ability to effectively manage personal responsibilities to ensure a professional work environment conducive to achieving performance goals
Self-provided internet service meeting minimum speeds (25 Mbps download, 10 Mbps upload recommended; wireless, wired cable, or DSL suggested; satellite/cellular/microwave only if approved)
Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information

Responsibilities

Contribute to administration of utilization management
Perform varied activities and moderately complex administrative/operational/customer support assignments
Perform computations
Work on semi-routine assignments
Provide non-clinical support for policies and procedures ensuring best and most appropriate treatment, care, or services for members
Interpret area/department policy and methods for completing assignments
Identify work expectations and quality standards within defined parameters, with some latitude over prioritization/timing
Work under minimal direction following standard policies/practices, allowing for some interpretation/deviation and independent discretion

Skills

Customer Service

De-escalation

Verbal Communication

Written Communication

Attention to Detail

Data Entry

Multitasking

Microsoft Word

Microsoft Excel

Process Flows

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free