Homecare Homebase Clinical EMR Specialist
Bankers Healthcare GroupSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates must possess a minimum of an Associate’s degree in Nursing, a minimum of 1+ years of experience in Home Health Services, at least 1+ years of experience with Durable Medical Equipment (DME), and a minimum of 1+ years of experience with Utilization Management (UM) review, specifically with CGX experience. Prior auditing experience is required, along with strong attention to detail, excellent written and verbal communication skills, and the ability to work efficiently in a fast-paced environment.
Responsibilities
The Compliance Professional 2 will ensure compliance with governmental requirements by developing and implementing compliance policies and procedures, researching compliance issues and recommending changes, maintaining relationships with government agencies, and coordinating site visits for regulators. They will also coordinate the implementation and compliance with corrective action plans as needed, understand department and organizational strategy, and make decisions regarding their own work methods with minimal direction. Additionally, the role involves managing multiple priorities and meeting deadlines, and potentially traveling to Humana offices for training or meetings.
Skills
Compliance regulations
Auditing
Query and report generation (Access/SQL)
Communication skills
Attention to detail
Fast-paced environment adaptability
Humana
Health insurance provider for seniors and military
About Humana
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees