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Humana
H1B vizos rėmėjasDraudimasSveikatos draudimasSveikatos priežiūra
Humana yra sveikatos priežiūros ir sveikatos draudimo bendrovė, siekianti gerinti asmenų, bendruomenių ir visos sveikatos priežiūros sistemos sveikatos rodiklius. Jos veikla apima „Medicare Advantage“ HMO, PPO ir PFFS planus, skirtus, be kita ko, senjorams ir kariuomenės nariams. Humana taip pat puoselėja įtraukią darbo aplinką, grindžiamą priklausymo jausmu, abipuse pagarba ir darbuotojų galimybėmis prisidėti prie į sveikatą orientuotos įmonės misijos.
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Humana Utilization Management Coordinator, Wisconsin Remote

Coordinate prior authorization requests for Humana’s Wisconsin Medicaid market, supporting providers and clinical review teams remotely. Responsibilities include documentation, TruCare data entry, and communication with providers about request status.

USJungtinės ValstijosWIViskonsinas
40 000 $ – 52 300 $ / metai
NuotolinisVisas etatasJaunesnysis specialistasDiplomas nebūtinasPrivaloma Kalba: anglųBendra

Aprašymas

  • Handle and document inpatient and outpatient prior authorization requests in line with Humana policies and procedures.
  • Reach out to providers by phone or fax to obtain missing details or clarification.
  • Manage incoming and outgoing calls.
  • Coordinate with internal and external customers and providers on prior authorization request status.
  • Respond to provider calls about the status of prior authorization requests.
  • Record prior authorization requests in the TruCare database.
  • Prepare records and route tasks to the appropriate staff for clinical review.
  • Balance multiple stakeholder needs throughout the workday.

Reikalavimai

  • At least one year of experience in a healthcare or health plan setting.
  • One to two years of experience using Microsoft Office applications, including Word, Excel, and PowerPoint.
  • At least one year of customer service experience handling inbound and outbound calls.
  • Available to work 8:30 a.m. to 5:00 p.m. Central Time, Monday through Friday, with limited availability for rotating holiday coverage.
  • Preferred: One year of experience in prior authorization or utilization management.
  • Preferred: One year of experience in a health insurance environment.
  • Preferred: Residence in Wisconsin.
  • Home internet service with minimum speeds of 25 Mbps download and 10 Mbps upload.
  • A dedicated home workspace without ongoing interruptions to protect member PHI/HIPAA information.

Privalumai

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • 401(k) retirement savings plan
  • Paid time off
  • Company holidays
  • Personal holidays
  • Paid parental leave
  • Paid caregiver leave
  • Short-term disability coverage
  • Long-term disability coverage
  • Life insurance
  • Remote work arrangement
  • Occasional use of Humana office space for collaboration and in-person needs
  • Internet service requirements and support for working from home
  • Dedicated workspace to protect member PHI/HIPAA information

Susiję darbai

LifeStance Health

Remote Billing Solutions Coordinator

LifeStance Health
5 001 – 10 000 Darbuotojai
H1B vizos rėmėjasDraudimasKonsultavimasSveikatos priežiūra
USJungtinės Valstijos
20 $ / valanda
NuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųBendraSąskaitų faktūrų koordinatorius

Support patients and care teams with billing, insurance, and account questions at LifeStance Health. Handle payments, insurance records, and revenue cycle issues through remote phone and digital channels.

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