Mediacl records /HIMS

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The Medical Records Clerk 2 assembles and maintains patients' health information in medical records and charts. The Medical Records Clerk 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

The Medical Records Clerk 2 ensures all forms are properly identified, completed, and signed. Enters all necessary information into the system. Communicates with physicians and staff to clarify diagnoses or get additional information. May also assign a code to each diagnosis and procedure. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Job Expectations

• Referral Processing: Be cross-trained in Referrals and able to process referrals accurately and timely.
• Medical Records: Send and request medical records as needed and follow up on outstanding requests.
• Referral Queue Support: Remain actively working the Referral queues throughout the day to support the needs of the market.
• Referral Coverage: When a Referral team member is out, provide coverage by working all Referral buckets assigned to that team member to help prevent backlogs.
• HIMS Coverage: When a HIMS team member is out, provide coverage for all HIMS responsibilities/buckets assigned to that team member.
• Flexibility: Be prepared to shift between HIMS duties and Referral queue support based on staffing, workload, and market needs.
• Teamwork & Accountability: Take ownership of assigned work, communicate concerns or barriers, and help ensure work continues to move efficiently during team member absences.

Overall Expectation

The HIMS team member is expected to provide consistent support across

HIMS and Referrals, remain active in the Referral queues throughout the day, and help ensure coverage and workflow continuity when team members are out.

Use your skills to make an impact

Required Qualifications

• Less than 3 years working knowledge of computers, or a demonstrated technical aptitude
• Professional appearance and attitude
• Demonstrated organizational skills
• Proficiency in Microsoft Office Word and Excel
• 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
• an ability to quickly learn new systems
• Excellent communication skills, both verbal and written
• Ability to travel locally (potentially overnight occasionally)
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• willing to travel to Market facilities
• willing to work in referrals
• able to work in a high-volume call queue

Preferred Qualifications

• prior authorization experiences
• Previous healthcare or health insurance experience
• Familiarity with medical terminology and/or ICD-9 codes

Additional Information

THIS POSITION IS A CROSS-TRAIN POSITION CANDIDATED WILL NEED TO WORK IN THE REFERRALS AND MEDICAL RECORDS

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$39,000 - $49,400 per yearThis 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.