Become a part of our caring community and help us put health first
 

The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 will contact and schedule with provider offices to return medical records. You will include remote access retrieval from larger provider groups and administrative retrieval tasks. You will report to the Supervisor, Risk Adjustment Administration.

As the the Medical Records Retrieval Specialist ensures accurate and supported clinical documentation within the health record. Follow state and federal regulations and internal guidelines while analyzing medical records.

• Schedule retrieval appointments and gain commitments from physician offices, efficient manner to meet all deadlines
• Remote access record retrieval with electronic systems
• Research claims and provider information for accurate retrieval
• Travel up to 40% of the time and will consist of driving to locations close to your home, and driving to locations. Use a laptop computer and a portable scanner and encrypted flash drive to retrieve medical records which will be uploaded into a database

Use your skills to make an impact
 

Required Qualifications

• 1 or more years of Healthcare Telephonic experience

• Live in the Lexington, KY area

• Microsoft Word and Excel

• 1 or more years Demonstrated ability in using computer and Windows PC applications, which includes keyboard and navigation skills

• Reliable vehicle transportation

• This job 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 and requires running a Motor Vehicle Report as part of the background check process.

Preferred Qualifications

• Experience in EMR (Electronic Medical Records) system

• Medical Record retrieval experience

• 1 or more years of Medical Record and/or health information experience

Additional Information

• Monday-Friday hours range between 8am- 5pm

• This position requires 40% travel to provider offices

• You will be Hybrid work at home and traveling to provider offices

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home

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

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees 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 employees 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.

#LI-BB1

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$40,000 - $52,300 per year

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term