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Job Details

Business Support Coordinator 1 - Medical Records

Company name
Humana Inc.

Location
Boston, MA, United States

Employment Type
Full-Time

Industry
Healthcare, Administrative

Posted on
Aug 14, 2021

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Profile

Description

Responsibilities

The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records received into the Medical Record Review Department.

Analyze content of medical records to ensure compliance with TRICARE contractual requirements for timeliness and documentation.

Request medical records, enter information into database, and send follow-up letter to facility if records not received. Open, date stamp mail and distribute to appropriate department associate.

Prepare, scan, and perform review of scanned medical records to ensure that a quality reproduction has been made.

Distribute the medical records appropriately through the Department according to government contract requirement or appropriate requester including to the TRICARE Quality Monitoring Committee (TQMC).

Complete payment voucher and send to finance for processing; maintain file by hospital and copy service.

File medical records according to government contract requirements.

This role description in no way states or implies that the key accountabilities above are the only ones being performed by the individual(s) with this role description. The individual(s) may be called upon and required to follow other instructions or perform other duties and tasks requested by his or her supervisor, consistent with the purpose of the position, department and/or company objectives .

Required Qualifications

1 year of medical records analysis experience

Excellent written and oral skill

Computer skills/experience

Familiarity with standards of practice for medical record documentation

Attention to detail and deadline driven

Our Department of Defense Contract requires U.S. citizenship for this position

Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)

Work at Home Requirements

Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work

Must provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required

Preferred Qualifications

Prior healthcare or TRICARE experience

Experience with internet research and proof-reading/editing

Additional Information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

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