"Alerted.org

Become a part of our caring community and help us put health first

The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contractual requirements for timeliness and documentation. Prepare, scan and stage for final distribution of all medical records received into the Medical Record Review Department. Understand TRICARE benefits/limitations and Humana Military medical record processes and UM policies. Request medical records, enter information via database, send follow-up letter to facility if records not received. File medical records according to government contract requirements. Distributes the medical records appropriately through the department according to government contract requirement or appropriate requestor including to the TRICARE Quality Monitoring Committee (Deloitte).

Perform medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, Scan and stage for final distribution of all medical records received into the Medical Record Review Department. Complete payment voucher and send to finance for processing; maintain file by hospital and copy service.

KEY ACCOUNTABILITIES

+ 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 medical records appropriately through the department according to government contract requirement or appropriate requestor including to the TRICARE Quality Monitoring Committee (TQMC).

+ Placing out going calls to obtain medical records from providers. Informs appropriate team members of issues as they arise in this process.

+ Re-faxing of records request letters and missing documentation notices to providers/facilities.

Use your skills to make an impact

Required Qualifications

+ Our Department of Defense contract requires U.S. Citizenship

+ Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)

+ HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.

+ Minimum of 1 year of medical record analysis experience

+ Must be able to lift at least 45 lbs. boxes (will be working with boxes of mail when in the office)

+ Proficient with Microsoft Office products

+ Familiarity with standards of practice for medical record documentation

+ Must live within 50 mile commute of Louisville, KY office, as position will require coming into the office on a rotational basis (every 6 - 8 weeks, will come into the office on Tuesday and Thursday). The rest of the time will be working from home.

Work at Home Requirements

+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

+ Satellite, cellular and microwave connection can be used only if approved by leadership

+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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.

$38,000 - $45,800 per year

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

​

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.