[Remote] Behavioral Health Utilization Management Administration Coordinator

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Note: The job is a remote job and is open to candidates in USA. Humana is a healthcare company providing insurance and healthcare services. The Behavioral Health Utilization Management Administration Coordinator provides non-clinical administrative and customer support for utilization management, including preparing authorization requests, documenting member records, coordinating with providers and internal teams, and sending correspondence.


Responsibilities

  • Prepare and forward authorization request to clinical review
  • Works within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Complete inbound and outbound provider calls to answer UM related questions and prepare authorization request for clinical review
  • Document calls and attach clinical information to the member’s medical record
  • Create and send out written correspondence
  • Ability to multitask and prioritize
  • Collaborate with multiple roles/departments/providers/team members

Skills

  • Minimum 1 year administrative experience in healthcare field
  • Excellent verbal and written communication skills
  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems and ability to troubleshoot and resolve basic technical difficulties in a remote environment
  • Proficient utilizing electronic medical record and documentation programs
  • Prior member service or customer service telephone experience desired
  • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
  • Clerical support background in a healthcare environment
  • Familiarity with medical terminology and/or ICD-10 codes

Benefits

  • Remote work at home
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Time off, including paid time off, company and personal holidays, paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance

Company Overview

  • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.

  • Company H1B Sponsorship

  • Humana has a track record of offering H1B sponsorships, with 149 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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