Record Retrieval Specialist - West Orlando

Humana, Inc.; Florida; Remote; USD 40,000 - 52,000; Full time

Job summary

Humana, Inc. is seeking a Medical Record Retrieval Specialist (Risk Adjustment Representative 2) to travel across Central Florida, primarily in the Orlando region, collecting medical records for production goals.

The role requires a valid driver’s license, reliable transportation, and proficiency with Microsoft Word and Excel. Responsibilities include in-person provider office visits, digital record collection, and corporate HIPAA-compliant handling of member information, with up to 50% travel

Qualifications

• Reside in Greater Orlando area.
• 1+ year of telephonic environment experience or customer service in an office.
• Proficiency in Microsoft Word and Excel.
• Ability to travel locally up to 50% of the time.
• Occasional overnight travel within the region.
• Must have reliable car transportation.
• Valid State Driver’s license and proof of personal vehicle liability insurance (100/300/100).

Responsibilities

• Travel up to 50% of the time in FL to provider offices with possible overnight stays.
• Collect medical records using laptop and scanner or download EMR to thumb drive.
• Visit physician offices in a timely, efficient manner to meet deadlines.
• Answer phones, fax, search the internet and email as needed.
• Research and update site information in CarePlus internal systems.
• Protect confidentiality of member information per HIPAA.
• Communicate professionally to clearly state resolutions.

Skills

Telephonic environment experience

Customer service

Microsoft Word

Microsoft Excel

Travel up to 50%

Reliable car transportation

Technical aptitude / learn new systems

State driver’s license & insurance

Bilingual English & Spanish

Tools

EMR systems

Job description

Become a part of our caring community

The Medical Record Retrieval Specialist (Risk Adjustment Representative 2) 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 the Greater Orlando area
• Ability to travel throughout the assigned Central Florida territory, including Orange, Osceola, Lake, Sumter, Marion, and surrounding counties.

Duties and Responsibilities

• Travel up to 50% of the time in Orange, Osceola, Lake, Sumter, Marion, 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

• Reside in the Greater Orlando 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.

Interview Format

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.

Text/Video Prescreen

Shortly after submitting your application, you may receive both a text message and email requesting you complete prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email.

Interviews

Some candidates will be invited to interview. If so, the recruiter will send an invitation through Hirevue to schedule a day and time.

Offers

Finalists from the interview will be contacted by a recruiter to discuss the offer and benefits for the job.

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.

About us

About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.

About Humana

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.