Utilization Management Administration Coordinator (SNF)
HumanaFull Time
Entry Level & New Grad
South Africa
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This information is not specified in the job description.
The position is fully remote, exclusively for South African Citizens, with working hours Monday - Friday, 9 am - 6 pm EST (3 pm - 12 am South African time), subject to change due to daylight savings.
Requirements include healthcare experience preferably with USA systems in medical billing, claims, authorizations, or case management in SNFs; familiarity with CPT, ICD-10 coding and HIPAA; strong analytical, problem-solving, organizational skills; high attention to detail; proficiency in MS Office Suite (Excel, Outlook); and strong communication skills.
A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and Ethernet connection capability is mandatory, along with a reliable power backup solution to manage load shedding and power outages.
The role is exclusively for South African Citizens with relevant healthcare experience, particularly in US systems, medical billing, coding, and case management.
Design and data support for government healthcare
A1M Solutions specializes in providing design, data, and policy-informed support for government healthcare programs, with a focus on serving disadvantaged populations. The company leverages expertise in government healthcare programs, data analysis, and policy/legislation to design effective business strategies and enhance digital service delivery, utilizing agile research and insights to untangle complex problems and generate thoughtful solutions.