Medical Records Retrieval Specialist

Description

The Medical Records Retrieval Specialist works with regional providers in downstate NY to utilize EMR access and other retrieval methods to retrieve member medical records that will be submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.

Responsibilities

The Medical Records Retrieval Specialist travels to provider offices in the Nassau, Suffolk, or Queens Counties to retrieve requested medical records through various retrieval methods while following state and federal regulations as well as internal policies and guidelines.

• Travels up to 100% in Downstate NY and other areas as needed. Travel will consist of driving to locations close to your home, as well as traveling to locations that require overnight travel for up to a week at a time
• Collaborates with provider offices through phone calls and visits
• Uses multiple EMR systems to access records following all HIPAA guidelines
• Uses a laptop computer, portable scanner, and external thumb drive to retrieve medical records which will be uploaded into a database
• Schedules appointments and visits to physician offices in a timely, efficient manner to meet all deadlines
• Will assist with regional phone calls and administrative projects as needed

In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

• Medical Benefits
• Dental Benefits
• Vision Benefits
• Health Savings Accounts
• Flex Spending Accounts
• Life Insurance
• 401(k)
• PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
• And more

Required Qualifications

• 1 years experience working with various EMR systems
• 1 years experience in a hospital or provider setting
• Proficiency in all Microsoft Office applications, including Word, Excel and Teams
• Strong ability to work independently
• Strong written and verbal communication skills
• Strong analytical, organizational and time management skills
• Must reside in NY counties of Queens, Nassau or Suffolk
• Must be available to travel up to 100% of the time
• Must be able to travel overnight occasionally within the region
• 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

Preferred Qualifications

• Provider relations experience
• Knowledge and experience in managed care
• Strong knowledge of ICD-10 codes

Additional Information

Work at Home/Remote Requirements

Work-At-Home Requirements

• 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 to support Humana applications, per associate.
  • Wireless, Wired Cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership.  (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
  • Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota.  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

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire.  Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. 

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview.  Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

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

Humana is more than an equal opportunity employer, Humana’s dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles.  Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.

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Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time employment at the time of posting in New York, New York. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$44,600 - $61,250 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.