Risk Adjustment Representative 3
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Portland, ME 04104
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.
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
Analyze data for reporting
+ 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)
+ Advance skills in Microsoft Excel
+ Bachelor’s Degree
+ Knowledge and experience in health care environment/managed care
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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