Become a part of our caring community
 

The Medical Records Retrieval Representative (Risk Adjustment Representative 2) travels to provider offices within the state of Pennsylvania and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. You will report to the Supervisor, Risk Adjustment.

South central PA within the counties of: Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry or York.

As the Medical Records Retrieval Representative (Risk Adjustment Representative 2) you will

• Travel up to 100% in assigned territory and other areas as needed.

• Travel will consist of driving to locations close to your home in an assigned territory and other areas as needed. Overnight travel may be required within the Northeast region on occasion.

• Collaborate with provider offices through phone calls and visits.

• Use multiple EMR systems to access records following all HIPAA guidelines.

• Use a laptop computer, portable scanner, and external thumb drive to retrieve medical records which will be uploaded into a database.

• Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.

• Will assist with regional phone calls and administrative projects.

Use your skills to make an impact
 

Required Qualifications

• 1 or more years of experience working with various Electronic Medical Records (EMR) systems

• 1 or more years of experience in a hospital and/or provider setting

• Must reside in south central PA within the counties of: Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry or York.

• Must be available to travel up to 100% of the time, occasional overnights

• Ability to travel overnight occasionally within the region (Northeast)

• This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits

Preferred Qualifications

• Proficiency in Microsoft Office applications, including Word, Excel, and Teams

• Previous experience in a managed care setting

• Familiarity with medical terminology and/or ICD-10 codes

• Medical record retrieval experience

Additional Information

Hours- You will work 8 to 5 (but could be as early as 7 depending on provider office.) Hours subject to change based on business needs

This role will be located in the state of Pennsylvania with travel to other areas as needed.

Work-At-Home Requirements

• To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.

  • Wireless, Wired Cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)

  • Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be mo