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Humana

Medical Records Representative

Humana

. Retrieve medical records from provider offices for reviews and audits using various retrieval methods .

Posted 10/5/2026full-timeMeridian • Idaho • United StatesJunior💰 $43,000 - $56,200 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in managing medical records retrieval while adhering to HIPAA regulations and maintaining data integrity. Proficient in using Microsoft 365 applications and EMR systems, with strong problem-solving and communication skills in a healthcare environment.

Highest-signal resume keywords
Medical Records ManagementHIPAA ComplianceMicrosoft 365 ProficiencyEpic EMR ExperienceICD-9/10 Knowledge

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Medical Records RetrievalData ValidationRecord ReconciliationProblem-SolvingHigh-Volume Workload ManagementMedical TerminologyConfidentiality MaintenanceProvider OutreachDocumentation UploadState and Federal Regulations Knowledge
Soft Skills
Independent WorkStrategic ThinkingEffective CommunicationAttention to DetailCustomer Service
Tools & Technologies
Microsoft TeamsMicrosoft OutlookHumana-Issued TechnologyEpic EMR System
Certifications & Qualifications
Valid Driver's LicensePersonal Vehicle Liability Insurance
Industry Keywords
Healthcare EnvironmentManaged CareProtected Health Information (PHI)Data Integrity StandardsConfidentiality

About the role

Key responsibilities & impact
  • Retrieve medical records from provider offices for reviews and audits using various retrieval methods
  • Accurately collect, validate, and reconcile medical records, including obtaining required provider signatures
  • Upload verified documentation to the Cotiviti centralized repository while maintaining data integrity and quality standards
  • Follow state and federal regulations, HIPAA requirements, and internal policies for retrieving, handling, and storing medical records
  • Apply departmental procedures and guidelines to complete assignments accurately and efficiently
  • Use Humana-issued technology to securely retrieve and manage medical records
  • Conduct high-volume phone and email outreach to physician offices to obtain records and meet deadlines
  • Maintain confidentiality and safeguard protected health information
  • Independently manage a high-volume workload while meeting productivity, quality, and service-level expectations
  • Travel statewide up to 50%, including occasional overnight travel for up to one week
  • Attend occasional travel to Humana offices for training or meetings

Requirements

What you’ll need
  • 1 or more years of experience in customer service
  • 1 or more years of experience with medical records
  • 1 or more years of experience using Microsoft 365 and associated applications, such as Teams and Outlook daily
  • Experience working independently, thinking strategically, and applying problem-solving
  • Experience managing high-volume workloads while ensuring prompt follow-up and adherence to professional standards
  • Experience articulating information to internal peers and external partners
  • Experience in a health care environment/managed care
  • Experience and comfort with Epic and other EMR systems
  • Knowledge of ICD-9/10 codes
  • Knowledge of medical terminology
  • Reside within Boise or Meridian, Idaho
  • Valid driver's license
  • Reliable transportation
  • Personal vehicle liability insurance meeting state minimums or specified higher limits
  • Ability to travel up to 50% statewide, including occasional overnight travel
  • Ability to work Monday–Friday, 8:00 am–5:00 pm MST, with occasional schedule flexibility
  • Minimum home internet speeds of 25 Mbps download and 10 Mbps upload for home or hybrid home/office work
  • Dedicated workspace without ongoing interruptions to protect PHI/HIPAA information

Benefits

Comp & perks
  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Work-from-home arrangement
  • Humana-issued laptop, portable scanner, and encrypted storage devices
  • Dedicated workspace and internet service requirements for home workers