Humana Hiring for Medical Record Retrieval Clerk – Miami-Dade County Market at Florida Full Time

The Medical Record Retrieval Clerk / Risk Adjustment Representative 2 works up to 120 days out in the field at provider offices retrieving medical records from various electronic platforms as well as some paper charts. The rest of the time, this position will be working from home researching many facets of a member and provider’s information. This position requires a high comfort level with a laptop, the Microsoft line of products and the general use of technology.

Responsibilities

This Medical Record Retrieval Clerk / Risk Adjustment Representative 2 is considered remote, but candidate must live within Miami-Dade County, Florida. Must be able to travel up to 50% of the time in Miami-Dade and Broward County, FL area with possibility of occasional overnight travel.

• Travels up to 50% of the time to provider offices and/or healthcare facilities within the outlined region

• Collect medical records by using a laptop and portable scanner to scan paper records and/or download electronic medical records to a thumb drive

• Upload collected medical records to Humana’s system appropriately and in a timely manner

• Demonstrates a professional and courteous manner when communicating with others with the ability to clearly and accurately state the agreed upon resolution

• Perform a variety of administrative duties including but not limited to: answering phones, electronically faxing, completing documents, internet search and email utilization

• Schedule and confirm appointments

• Research and updates site information by utilizing Humana’s internal systems

• Meet daily production goal requirement

• Performs other related duties and projects as assigned within the assigned timeframes

• Adhere to Humana’s Policies and Procedures, process standards, and Standard Operating Procedures

• Complies with Humana and HIPAA confidentiality standards to protect the confidentiality of member information

• Consult leadership, team members and appropriate resources to solve issues

• Provide feedback to leadership in a timely manner

• Provide excellent customer service to all internal and external business partners

Required Qualifications

• This role is part of Humana’s Driver safety program and therefore requires an individual to have reliable transportation, a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits

• Ability to travel locally up to 50% of the time

• Light walking and carrying may be needed to transport or retrieve medical records.

• Proficiency in computer (Windows) operating systems

• Proficiency in Microsoft Office to include Word, Excel, and Outlook

• Knowledge and skill in the use of scanner, fax, and electronic health record technology

• Excellent communication skills, both verbal and written

• Working knowledge of computers in general and an ability to quickly learn new systems

• Proven experience in a fast paced administrative or technical support role

• Professional appearance at all times

• Exceptional organization skills, strong attention to detail

Preferred Qualifications

• Bilingual in English/Spanish

• Proficient utilizing electronic medical record and documentation programs

• Associate’s or Bachelor’s Degree in a related field

• Previous healthcare or health insurance experience

• Familiarity with medical terminology and/or ICD-9 codes

Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

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

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

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#LI-Remote

This is a remote position.

Scheduled Weekly Hours

40