Medical Record Retrieval Specialist

Humana; United States; Remote; USD 40,000 - 52,000; Full time

Job summary

Humana in Orlando seeks a Medical Record Retrieval Specialist (Risk Adjustment Representative) who travels to physician offices to scan records into a secure system. You will work with CarePlus staff and maintain HIPAA confidentiality as you collect data and support production goals.

The role involves visiting offices across Orange, Osceola, Marion, Lake, Sumter and surrounding counties with up to 50% travel and occasional overnight stays.

Qualifications

• 1+ year in a telephonic environment or office-based customer service.
• Proficient with MS Word and Excel.
• Ability to travel locally up to 50% and overnight occasionally.
• Must have reliable car transportation and valid driver's license.
• Familiarity with HIPAA and confidentiality requirements.

Responsibilities

• Travel up to 50% within FL region to collect medical records.
• Scan paper records and download EMR using a laptop and thumb drive.
• Visit physician offices promptly to meet deadlines.
• Answer phones, fax, search the internet and email as needed.
• Research site information using CarePlus internal systems.
• Protect member information per HIPAA standards.
• Communicate clearly and professionally to resolve issues.

Skills

Telephonic environment

Customer service

MS Word

MS Excel

Travel up to 50%

Valid Driver's license

Vehicle insurance

Technical aptitude

HIPAA compliance

Bilingual English/Spanish

Tools

Microsoft Office Word

Microsoft Excel

Job description

Remote

The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff.

• Live in Orlando area
• Travel to Orange, Osceola, Marion, Lake, Sumter and other surrounding counties

Duties and Responsibilities

• Travel up to 50% of the time in Orange, Osceola, Marion, Lake, Sumter and other surrounding counties in FL with the possibility of occasional overnight stays.
• Travel up to a week at time to surrounding counties near Jacksonville, based on business needs.
• Collect medical records by using a laptop and portable scanner to scan paper records and/or download electronic medical records to a thumb drive to meet production goals.
• Visits to physician offices in a timely, efficient manner to meet all deadlines.
• Answering phones, electronically faxing, internet search and email utilization.
• Research and updates site information by utilizing CarePlus internal systems.
• Follows CarePlus and HIPAA confidentiality standards to protect the confidentiality of member information.
• Demonstrates a professional and courteous manner when communicating with others with the ability to clearly and accurately state the agreed upon resolution.

Use your skills to make an impact

Required Qualifications

• Live in the Orlando, Florida area
• 1 or more years of Telephonic environment experience and/or customer service in an office setting
• Proficiency in Microsoft Office Word and Excel
• Ability to travel locally up to 50% of the time
• Ability to travel overnight occasionally within the region
• Must have reliable car transportation
• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
• 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

• 1 or more years of experience with Medical Record or Health information retrieval experience In a Hospital, Healthcare and/or Medical Office setting
• Knowledge and experience in managed care
• Medical terminology
• Experience in EMR (Electronic Medical Records) systems
• Medical Record retrieval experience
• Bilingual English and Spanish
• Healthcare experience

Additional Information

Hours 8am-5pm, could be earlier depending on travel/provider office. Hours subject to change based on business needs.

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

Work at Home Requirements

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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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

$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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.