Health Information Management Professional 2

Profile

Description

The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Health Information Management Professional 2 develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.


Strong communication skills
Self-directed but able to collaborate with others
Great attention to detail
Work ethic that is focused, accurate and highly productive
Meets established expectations and takes responsibility for achieving results
Excellent communication skills (written and oral)


Required Qualifications


Bachelor's Degree or equivalent experience
Demonstrated experience with Microsoft Excel, Word, and PowerPoint
Experience with large data sets and data manipulation using Access
Experience with processes and process improvement
Demonstrated ability to follow through and follow up
Ability to build relationships
Experience with claims
Ability to do light travel


Preferred Q ualifications


Knowledge of Medicaid and Medicare policies and procedures
Knowledge of Humana's internal policies, procedures and systems


Additional Information


Position is located at Waterfront Plaza, Louisville, KY but temporarily working remote

Must have accessibility to high speed DSL or cable modem for a home office (satellite internet service is NOT allowed for this role); and a minimum internet connection speed of 10M x 1M

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, 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

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