UM Administration Coordinator

Become a part of our caring community This will be a hybrid role - working some days at home and others in the office (could be at least 1 day a week), located at 101 E. Main Street, Louisville, KY. This will require candidates that live within a commutable distance to the in office location. The UM Administration Coordinator 2 will report to a Supervisor of Appeals Nursing. You will perform in a support role providing clerical fulfillment for medical management teams. You will review, scan, and reroute in-office physical mail related to appeals and other denial correspondence You will review and distribute returned mail for research You will review claim denial codes eligible for appeal, and identify denial correspondence to be directed to other departments You will also process emails and faxes related to appeals and correspondence, and send out non covered benefit letters. Use your skills to make an impact Required Qualifications Our Department of Defense contract requires U.S. Citizenship Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. Live within a commutable distance to the Clocktower Building, at 101 E. Main Street, Louisville KY 1 year of administrative and technical support experience Must be able to sit or stand in a stationary position for up to 8 hours Must be able to lift up to 30 lbs Experience with medical terminology and/or ICD-10 codes Preferred Qualifications Prior experience working in a Mailroom setting Prior experience working in a managed care organization to include TRICARE Experience with Utilization Review and/or Prior Authorization Experience in claims Experience with electronic medical record and documentation programs Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities. About Us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. --- Questions: -

Please answer the questions below.

- Have you ever worked for Humana Inc. and/or its affiliates and subsidiaries (collectively “Humana”) before as an Associate, Intern, or Contractor/Temporary Worker? - Yes - No - Our Department of Defense contract requires U.S Citizenship for this role. Do you meet this requirement? - Yes - No - If offered a position with Humana Government Business you may be required to go through the NBIS process to obtain Government Security Clearance to work on government systems. This requires the completion of a 100+ page document on-line, finger printing, background check, credit check and, completion of an employment application and drug test. The financial/credit check portion requires an in depth review of any failure to meet financial obligations within the past 7 years, including but not limited to bankruptcy, debt over 120 days delinquent and/or $15,000 threshold for bad debt (items in collection and charge off). Are you willing to go through this process? - No - Yes - Do you have dual citizenship with any other country? - Yes - No - If offered the job you may need to provide a copy of a Birth Certificate (government issued – not hospital copy), Birth Certificate for Birth Abroad, Naturalization Certificate, Citizenship Certificate or Valid Passport (must not be expired). This is required to initiate the NBIS process. Do you have one of these documents available? - No - Yes - Will you now or in the future require immigration sponsorship by our company to attain or maintain your employment eligibility (e.g., H-1B, E-3, TN, 0-1, STEM OPT, or any immigration work authorization requiring a written submission from the company to a government agency)? - Yes - No - Do you reside in the location for this job posting or within commutable distance? - Yes - No - What are your salary expectations for this job? - Please explain your reason for leaving your current or last position. - Have you ever been employed by the Federal Government, a contractor (including subsidiaries, parents, and affiliates) that performed work for the Defense Health Agency – DHA, served in the Military, and/or were a Political Appointee?