[Remote] UM Administration Coordinator

Note: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company seeking a UM Administration Coordinator to contribute to the administration of utilization management. The role involves processing authorization requests, maintaining records, and collaborating with care teams to ensure appropriate treatment for members.ResponsibilitiesAccurately and efficiently process and enter authorization requests into the systemReview care team submitted service requests and validate required documentation before processingCoordinate follow-up with the care team for missing or additional required informationMaintain detailed records of authorization approvals, denials, and modificationsCollaborate with UM nurses and care teams to escalate requests requiring additional clinical reviewMonitor authorization timelines and turnaround times to prevent delaysServe as a liaison between providers, members, and internal teams, ensuring smooth communication regarding service approvalsIdentify potential discrepancies, errors, or inefficiencies and work proactively to resolve themAssist with training and onboarding of new team members as neededSkills1 or more years administrative or technical support experienceExcellent verbal and written communication skillsWorking knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systemsMust have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1MMust be passionate about contributing to an organization focused on continuously improving consumer experiencesProficient utilizing electronic medical record and documentation programsProficient and/or experience with medical terminology and/or ICD-10 codesBachelor's Degree in Business, Finance or a related fieldPrior member service or customer service telephone experience desiredExperience with Utilization Review and/or Prior Authorization, preferably within a managed care organizationBenefitsMedical, dental and vision benefits401(k) retirement savings planTime off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)Short-term and long-term disabilityLife insuranceCompany OverviewHumana 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 SponsorshipHumana has a track record of offering H1B sponsorships, with 91 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.