[Remote] Medical Record Retrieval Specialist at Humana

Florida, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must reside in Miami/Dade County and possess 1+ years of experience in a telephonic or office-based customer service environment. Proficiency in Microsoft Office Suite (Word, Excel) is required, along with reliable personal transportation and a valid State Driver's license with specific auto insurance coverage. A demonstrated technical aptitude and ability to learn new systems quickly are also necessary. Preferred qualifications include experience with medical record retrieval, managed care, medical terminology, EMR systems, and bilingual English/Spanish skills.

Responsibilities

The Medical Record Retrieval Specialist will travel to provider offices within the region, primarily in Miami/Dade and Broward counties, to scan medical records into a secure system. This involves collecting records by using a laptop and portable scanner, downloading electronic records, and meeting production goals. The role requires timely and efficient visits to physician offices, answering phones, faxing, internet searches, email utilization, and updating site information using internal systems. Adherence to CarePlus and HIPAA confidentiality standards is mandatory, along with maintaining a professional and courteous demeanor when communicating with others.

Skills

Medical Record Retrieval

Scanning

HIPAA

Microsoft Office

Microsoft Word

Microsoft Excel

Customer Service

Data Entry

Computer Proficiency

Technical Aptitude

Communication

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

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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