The Medical Records Retrieval Specialist (Risk Adjustment Representative 2) travels to provider offices within Philadelphia and Montgomery, PA and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. You will report to the Supervisor, Risk Adjustment AdministrationAs the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will:
- Travel up to 100% in assigned territory and other areas as needed.
- Travel will consist of driving to locations close to your home in an assigned territory and other areas as needed. Overnight travel may be required within the Northeast region on occasion.
- Collaborate with provider offices through phone calls and visits.
- Use multiple EMR systems to access records following all HIPAA guidelines.
- Use a laptop computer, portable scanner, and external thumb drive 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.
- Will assist with regional phone calls and administrative projects
Use your skills to make an impact
Required Qualifications
- 1 or more years of experience working with various Electronic Medical Records (EMR) systems
- 1 or more years of experience in a hospital and/or provider setting
- Reside in Pennsylvania within the counties of Philadelphia or Montgomery.
- Must be available to travel up to 100% of the time, occasional overnights
- Ability to travel overnight occasionally within the region (Northeast)
- This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
Preferred Qualifications
- Proficiency in Microsoft Office applications, including Word, Excel, and Teams
- Previous experience in a managed care setting
- Familiarity with medical terminology and/or ICD-10 codes
- Medical record retrieval experience
Additional Information
Hours: 8 hour workday between the hours of 7am and 6pm, chosen by the associate. Subject to change based on region's needs.
This role will be located in the state of Pennsylvania (counties of
Philadelphia and Montgomery) with travel to other areas as needed.
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, 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 Guidance
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
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Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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.
$44,000 - $57,500 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, volunteer time off, 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.
