Company name
Humana Inc.
Location
Corpus Christi, TX, United States
Employment Type
Full-Time
Industry
Customer Service, Healthcare, Administrative
Posted on
Jul 13, 2022
Profile
Description
The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff.
Corpus Christi, TX
How we Value You
Benefits starting day 1 of employment
Competitive 401k match
Generous Paid Time Off accrual
Tuition Reimbursement
Parent Leave
Go365 perks for well-being
Responsibilities
The Medical Records Retrieval Specialist ensures accurate and properly supported clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines while analyzing medical records. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Travel up to 100% of the time, and will consist of driving to locations close to your home, as well as driving to locations that require overnight travel for up to a week at a time.
Use a laptop computer and a portable scanner to retrieve medical records which will be uploaded into a database.
Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.
Corpus Christi, TX
Required Qualifications
2 or more years of Customer Service experience
Strong written and verbal communication skills; strong analytical, organizational and time management skills
Proficiency in Microsoft Office applications: Word and Excel
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Experience in EMR (Electronic Medical Records) system
Knowledge and experience in health care environment/managed care (provider office, billing, coding, medical records, etc.)
Additional Information
This position requires 100% travel to provider offices in Corpus Christi, TX metropolitan areas. Daily travel. Overnight travel as needed.
Department hours 7:30am-5:00pm, OT as needed. Hour subject to change based on business needs.
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Work-At-Home Requirements
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Internal Only: If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
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Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com