Representative

• 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

Explore Medical Records Representative at Humana. Review requirements and application details.