Medical Records Retrieval Representative

Oklahoma, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must have at least 1 year of experience in medical records retrieval and 1 year of administrative support in a medical office or healthcare setting. A valid driver's license, proof of personal vehicle liability insurance with specific limits, and reliable transportation are required. Proficiency in Microsoft Office Word and Excel, along with working knowledge of computers or demonstrated technical aptitude for learning EMR systems, is necessary. Candidates must be able to travel locally up to 75% of the time within the Tulsa, OK area and occasionally travel overnight. Living within Tulsa, Rogers, Wagoner, or Creek counties in Oklahoma is also a requirement.

Responsibilities

The Medical Records Retrieval Representative will retrieve medical records from provider offices and work with health systems in the Tulsa, OK area to obtain these records through secure systems. Responsibilities include building relationships with provider office contacts, assisting with other administrative tasks and projects as required by leadership, and using a laptop, thumb drive, and portable scanner to retrieve records for upload into a database. The role involves conducting quality assurance audits of medical records and ICD-9/10 diagnosis codes submitted to government agencies.

Skills

Medical Records Retrieval

ICD-9/10 Coding

Quality Assurance

Administrative Support

Provider Relations

Data Entry

Scanning

Microsoft Office Suite

Valid Driver's License

Reliable Transportation

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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