Medical Record Retrieval Specialist

Medical Record Retrieval Specialist (Risk Adjustment Representative)

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 Miami / Dade County. Travel Miami / Dade, Broward, and other surrounding counties.

The Medical Record Retrieval Representative (Risk Adjustment Representative):

• Travel up to 50% of the time in Miami / Dade, Broward and other surrounding counties in FL with the possibility of occasional overnight.
• Travel up to a week at time throughout Florida, 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.

Required Qualifications:

• Live in the Miami/Dade County 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) system.
• 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.

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, volunteer time off, 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 committed to putting health first for our teammates, our customers, and our 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.