FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in administrative support within healthcare environments, particularly in Long-Term Services and Supports (LTSS) utilization management. Strong communication skills and experience with electronic medical records and documentation systems are essential.
Highest-signal resume keywords
Administrative Experience In HealthcareLTSS Utilization Management SupportMicrosoft Word, Excel, And OutlookElectronic Medical Record ProficiencyStrong Verbal And Written Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryClerical ActivitiesReport PullingData TrackingMedical TerminologyICD-10 CodesUtilization ReviewPrior AuthorizationComputationsEmail Monitoring
Soft Skills
CommunicationCustomer ServiceCollaborationAdaptabilityFollow-Up
Tools & Technologies
Clinical Documentation SystemsWindows-Based EnvironmentShared MailboxesTelephony Systems
Industry Keywords
Long-Term Services And SupportsUtilization ManagementManaged Care OrganizationPHI/HIPAA Compliance
About the role
Key responsibilities & impact- Provide non-clinical support for utilization management policies and procedures
- Provide Long-Term Services and Supports (LTSS) utilization management support
- Manage shared mailboxes
- Enter data into work queues and clinical documentation systems
- Mail letters and educational materials
- Prepare documents for LTSS utilization management reviewers and Medical Directors
- Ensure timely and correct submission of state-required deliverables
- Coordinate with care coordinators and internal and external stakeholders
- Perform clerical activities, computations, reporting, data tracking, report pulling, and email monitoring/management
- Make, receive, and soft transfer calls with members, families, and providers
- Ensure timely communication and follow-up with care management
- Work on semi-routine assignments subject to change
- Occasionally travel to Humana offices for training or meetings
Requirements
What you’ll need- Must reside in Michigan
- One (1) or more years of administrative experience in a healthcare environment
- Strong verbal and written communication skills
- Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment
- Ability to learn new software and systems
- Experience with LTSS programs (preferred)
- Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care organization (preferred)
- Proficient using electronic medical record and documentation programs (preferred)
- Proficient or experienced with medical terminology and/or ICD-10 codes (preferred)
- Prior member service or customer service telephone experience (preferred)
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Full participation throughout the 4–6 week onboarding and training period
Benefits
Comp & perks- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Remote work
- Flexible schedule/additional hours as needed
- Training and onboarding program
