About the position
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. Travel in North Broward and Palm Beach counties, FL and surrounding areas.
Responsibilities
• Travel up to 50% of the time primarily in N. Broward and Palm Beach Counties in FL with the possibility of occasional overnight stays.
• 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.
Requirements
• MUST reside in Broward or Palm Beach counties.
• 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.
• Must have the ability to provide a high speed DSL or cable modem for a home office.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Nice-to-haves
• 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 and comfort with EMR (Electronic Medical Records) systems.
• Medical Record retrieval experience.
• Bilingual English and Spanish.
• Healthcare experience.
Benefits
• medical
• dental
• 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