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

Pennsylvania - counties of Bucks or Lehigh area (Doylestown, Langhorne, New Hope, Newtown, Washington Crossing and Yardley, Allentown)

Medical Records Retrieval Representative (Risk Adjustment Representative 2)

• Travels 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.

• Collaborates with provider offices through phone calls and visits.

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

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

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

• Will assist with regional phone calls and administrative projects as needed.

Use your skills to make an impact
 

Required Qualifications

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

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

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

• Must reside in the state of Pennsylvania within the counties of Bucks or Lehigh.

• 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- 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.

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Work at Home Guidance

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; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• 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

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requ