Humana

About Humana

 

Job Category:

Member Quality & Financials - Risk Adjustment & STARS operations

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full Time

Record Retrieval Scheduler and Analytics Representative- Louisville, KY, Syracuse, NY or Portland, ME

Humana - Work At Home, New York

Posted: 08/31/2018

Description

The Risk Adjustment Representative 3 schedules appointments and visits for Risk Adjustment Representative 2. Risk Adjustment Representative 2 scan medical records into a secure system and the records are reviewed by Humana's Coding staff. 50% or more of time will be scheduling and another percentage of time will be pulling data/reporting.

Responsibilities

Schedule appointments and visits to physician offices for Risk Adjustment Representative 2, in efficient manner to meet all deadlines.  Also, will work on special projects, as assigned. Utilize systems to look up medical records, chart retrieval, and unassigned sites for Risk Adjustment Representative 2.   Other responsibilities to include:

Pulling reporting from different systems

Report generation/development

Maintain reports

Analyze data for reporting

               

Required Qualifications

  • High School Diploma or equivalent
  • 1-3 years of technical experience
  • Strong written and verbal communication skills
  • Strong analytical, organizational and time management skill
  • Ability to travel locally to assist Medical Record Retrieval Representatives if needed
  • This role 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
  • Strong knowledge of Microsoft Office XP products (Word, Excel, Access)

Preferred Qualifications

  • Bachelor's Degree
  • Knowledge and experience in health care environment/managed care

Additional Information

Scheduled Weekly Hours

40

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