Medical Record Retrieval Specialist

2 days ago


Hialeah, Florida, United States Humana Full time
Job Summary

We are seeking a highly skilled Medical Record Retrieval Specialist to join our team at Humana. As a Risk Adjustment Representative, you will play a critical role in ensuring the accuracy and completeness of medical records for our Medicare Advantage health plans.

Key Responsibilities
  • Travel to provider offices within the region to collect and scan medical records into a secure system.
  • Review and verify the accuracy of medical records to ensure compliance with regulatory requirements.
  • Collaborate with Humana's Coding staff to ensure accurate and timely submission of medical records.
  • Utilize a laptop and portable scanner to scan paper records and/or download electronic medical records to a thumb drive.
  • Communicate effectively with healthcare providers and Humana staff to resolve any issues or concerns related to medical records.
Requirements
  • 1 or more years of experience in a telephonic environment 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 and occasionally overnight within the region.
  • Reliable car transportation and a valid State Driver's license.
  • Working knowledge of computers and the ability to quickly learn new systems.
Preferred Qualifications
  • Experience with medical record or health information retrieval in a hospital, healthcare, or medical office setting.
  • Knowledge and experience in managed care and medical terminology.
  • Experience with EMR (Electronic Medical Records) systems and medical record retrieval.
  • Bilingual English and Spanish language proficiency.
What We Offer

As a Medical Record Retrieval Specialist at Humana, you will have the opportunity to work with a dynamic team of professionals who are dedicated to delivering exceptional healthcare services. We offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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