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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in administrative support within healthcare, including utilization management and member service. Capable of applying medical terminology and ICD-10 codes while ensuring compliance with HIPAA regulations.
Highest-signal resume keywords
Utilization ManagementElectronic Medical Record ProficiencyICD-10 Code KnowledgeMS Office ProficiencyCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Utilization ManagementElectronic Medical Record ProficiencyICD-10 Code KnowledgeAdministrative SupportData Computation
Soft Skills
Excellent Verbal CommunicationExcellent Written CommunicationAbility to Prioritize WorkIndependent Discretion
Tools & Technologies
MS OfficeWindows EnvironmentDocumentation Programs
Industry Keywords
Healthcare OrganizationUtilization ReviewPrior AuthorizationMember ServicePHI/HIPAA Compliance
About the role
Key responsibilities & impact- Contribute to the administration of utilization management
- Perform varied administrative, operational, and customer support assignments
- Perform computations
- Provide non-clinical support for policies and procedures related to appropriate treatment, care, or services for members
- Interpret department policies and methods for completing assignments
- Identify work expectations and quality standards within defined parameters
- Prioritize and schedule work with minimal direction
- Apply standard policies and practices with independent discretion
- Work Monday through Friday, 8:00 AM–5:00 PM Central Time
- Occasional weekend and overtime work may be requested
- Attend occasional Humana office training or meetings
Requirements
What you’ll need- 1 year of experience in an administrative or technical support role within a healthcare organization
- Excellent verbal and written communication skills
- Working knowledge of MS Office, including Word, Excel, and Outlook, in a Windows-based environment
- Ability to quickly learn new systems
- Proficiency utilizing electronic medical record and documentation programs
- Proficiency and/or experience with medical terminology and/or ICD-10 codes
- Bachelor's Degree in Business, Finance or a related field
- Prior member service or customer service telephone experience desired
- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
- Minimum internet speed of 25 Mbps download and 10 Mbps upload
- Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
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
- Dedicated home workspace
- Occasional travel for training or meetings
