Humana, the health insurance company, is hiring a utilization management specialist. This is a work-from-home gig with a strong preference for applicants living in Texas. As a UM specialist, you’ll assist your team by performing administrative, operational and/or customer support assignments.
In addition to preferring Texas-based candidates, Humana also has a preference for applicants with a background in healthcare clerical support, including certified nurse aides, medical assistants or people who are familiar with medical coding.
You’ll work 40 hours a week, Monday through Friday from 8:30 a.m. to 5:30 p.m. CST.
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UM Specialist at Humana
Pay: Not specified
Responsibilities include:
- Attaching faxes for chart reviews for the nursing team
- Answering departmental phone calls
- Making outbound calls to members or providers to verify information
- Documenting phone calls
- Making requests to providers and facilities for clinical information
- Sending written messages
- Collaborating with different departments, team members and providers
Applicants for this position must:
- Have a high school diploma (bachelor’s degree in business, finance or a related field preferred)
- Be proficient with Microsoft Office programs, including Word, Excel and Outlook
- Have impeccable phone etiquette
- Have a high-speed DSL or cable internet modem for a home office (no satellite internet service allowed) with internet speed of 10 Mbps
- Be a Texas Resident (preferred)
- Have a clerical background in a health care environment, such as experience as a certified nurse aide, medical assistant or medical coding (preferred)
- Be familiar with medical terminology and ICD-10 codes (preferred)
- Have experience working in a call center (a plus)
- Have a CNA or medical assistant background (a plus)
Apply here for the UM specialist position at Humana.
Matt Reinstetle is a staff writer at The Penny Hoarder.
This was originally published on The Penny Hoarder, which helps millions of readers worldwide earn and save money by sharing unique job opportunities, personal stories, freebies and more. The Inc. 5000 ranked The Penny Hoarder as the fastest-growing private media company in the U.S. in 2017.
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