Medical Record Retrieval Specialist at Humana

Gainesville, Florida, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

1 or more years experience with Medical Record or Health information retrieval experience in a Hospital, Healthcare and/or Medical Office setting
Proficiency in Microsoft Office Word and Excel
Ability to travel locally up to 60% of the time in Alachua, Putnam and Marion counties in FL
Ability to travel overnight occasionally within the Florida region
Must have reliable car transportation
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits (part of Humana's Driver safety program; Motor Vehicle Report required as part of background check)
Preferred Qualifications
Knowledge and experience in managed care
Medical terminology
Experience in EMR (Electronic Medical Records) system
Medical Record retrieval experience

Responsibilities

Travels to provider offices within the region and scans medical records into a secure system (records reviewed by Humana's Coding staff)
Schedule appointments (30% of time)
Retrieve medical records (60% of time) using a laptop and portable scanner to scan paper records and/or download electronic medical records to a thumb drive to meet production goals
Visit physician offices in a timely, efficient manner to meet all deadlines
Answering phones, electronically faxing, internet search and email utilization
Research and updates site information by utilizing internal systems
Follows HIPAA confidentiality standards to protect the confidentiality of member information
Demonstrates a professional and courteous manner when communicating with others with the ability to clearly and accurately state the agreed upon resolution
Performs advanced administrative/operational/customer support duties that require independent initiative and judgment
Other duties as assigned

Skills

Medical Record Retrieval

HIPAA

Microsoft Word

Microsoft Excel

Scanning

Electronic Faxing

Laptop Use

Portable Scanner

Customer Support

Administrative Duties

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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