The Risk Adjustment Representative 2 travels to provider offices within the region and retrieves medical records to upload into a secure system. The records are reviewed by Humana's Coding staff.
The Risk Adjustment Representative 2 ensures the collection of member medical records per protocol and safeguards member protected health information. Travels up to 100% of the time, and will consist of driving to locations close to home, as well as driving to locations that require overnight travel for up to a week at a time. Utilizes a laptop computer, thumb drive, and portable scanner to retrieve medical records which will be uploaded into a database. The Representative is responsible for visiting physician offices in a timely, efficient manner to meet all deadlines, production requirements, and quality expectations. Being a customer facing role, a professional manner and solid emotional intelligence skills are necessary.
+ High school diploma or equivalent
+ Must be proficient in the use of technology
+ Proficiency in all Microsoft Office applications, including Excel and Word.
+ Strong written and verbal communication skills, organizational and time management skills necessary
Hours: Monday-Friday 8:00 AM - 5:00 PM Central
+ Must be willing to commute within 2-3 hour radius of home residence, about 25% or as business needs.
+ Will require up to 100% travel to provider offices within Memphis city limits.
+ 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.
+ Lives within the Memphis City limits
+ Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work
+ Must have accessibility to hardwired high speed internet with minimum speeds of 10Mx1M for a home office (Wireless and Satellite are prohibited)
+ Associate's degree
+ Experience in a health care environment with medical records.
+ Previous experience managing travel and working remotely.
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Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that's why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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