Humana

Medical Records Retrieval Representative

Virginia, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Medical Records Retrieval Specialist / Risk Adjustment Representative 2

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Medical Records Retrieval Specialist / Risk Adjustment Representative 2 travels to provider offices within the Southern VA region (Tidewater) and scans medical records into a secure system. This role ensures accurate and properly supported clinical documentation within the health record, adhering to state and federal regulations as well as internal policies and guidelines while analyzing medical records.

Responsibilities

  • Travels up to 75% of the time, including driving to locations close to home and overnight travel for up to a week at a time.
  • Uses a laptop computer, portable scanner, and encrypted flash drive to retrieve medical records for upload into a database.
  • Schedules appointments and visits to physician offices in a timely and efficient manner to meet all deadlines.

Requirements

  • Live and travel in the Southern part of VA - Tidewater area.
  • 1+ years of provider office and/or medical office setting experience.
  • 1+ years of Medical Record and/or health information experience.
  • Proficiency in Microsoft Office applications: Word and Excel.
  • Ability to lift 30 lbs.
  • 1+ years demonstrated ability in using computer and Windows PC applications, including strong keyboard and navigation skills and the ability to learn new computer programs.
  • Valid state driver's license.
  • Proof of personal vehicle liability insurance with at least 100/300/100 limits.
  • Must pass a Motor Vehicle Report as part of the background check process.

Preferred Qualifications

  • Experience in an EMR (Electronic Medical Records) system.
  • Medical Record retrieval experience.

Work Schedule & Travel

  • Hours: Monday-Friday, ranging between 7 am - 5 pm.
  • Travel: This position requires 75% travel to provider offices.

Work at Home/Remote Requirements

To ensure effective work for Home or Hybrid Home/Office associates, the self-provided internet service must meet the following criteria:

  • Recommended Speed: A download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications.
  • Connection Type: Wireless, Wired Cable, or DSL connection is suggested. Satellite, cellular, and microwave connections may be used only if they provide an optimal connection and are approved by leadership.
  • Internet Cost: Humana will not pay for or reimburse for any portion of the cost of self-provided internet service, with the exception of associates who live or work from Home in California, Illinois, Montana, or South Dakota. These associates will receive a bi-weekly payment for their internet expense.
  • Humana will provide necessary telephone equipment for Home or Hybrid Home/Office associates.
  • Associates must work from a dedicated space lacking ongoing interruptions.

Company Benefits

Humana offers industry-leading benefits for all employees, starting on the first day of employment. Benefits include:

  • Medical Benefits
  • Dental Benefits
  • Vision Benefits
  • Health Savings Accounts
  • Flex Spending Accounts
  • Life Insurance
  • 401(k)
  • PTO (Paid Time Off) including:
    • 9 paid holidays
    • 1 personal holiday
    • 1 day of volunteer time off
    • 23 days of annual PTO
    • Parental leave
    • Caregiving leave
    • Weekly well-being time
  • And more.

Use your skills to make an impact!

Skills

Medical Records Retrieval
Health Information Management
Microsoft Office (Word, Excel)
Driving/Travel
Record Scanning
Data Entry
Time Management

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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