[Remote] Medical Records Retrieval Representative at Humana

Arkansas, United States

Humana Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

Candidates must have at least 1 year of medical records experience and 1 year of administrative support in a medical office or healthcare setting. A valid state driver's license, reliable transportation, and personal vehicle liability insurance are required. Proficiency in Microsoft Office Word and Excel, along with working knowledge of computers or demonstrated technical aptitude, is necessary. The ability to travel locally up to 75% of the time and occasionally travel overnight is also required. Preferred qualifications include experience with medical billing and coding (ICD-10 codes), knowledge of the healthcare/managed care environment, critical thinking skills, health insurance experience, EMR experience, and familiarity with medical terminology and/or ICD-10 codes.

Responsibilities

The Medical Records Retrieval Representative will conduct quality assurance audits of medical records and ICD-9/10 diagnosis codes. This role involves retrieving medical records from provider offices and working with health systems to obtain these records through secure systems. Responsibilities include building relationships with provider office contacts, assisting with administrative tasks, and traveling to provider offices for record retrieval, which may include overnight travel. Representatives will use a laptop, thumb drive, and portable scanner to retrieve records and upload them into a database.

Skills

Medical Records Retrieval
Administrative Support
Healthcare
ICD-9/10 Coding
Quality Assurance
Provider Relations
Data Entry
Microsoft Office
Portable Scanner Operation
Database Management
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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