Medical Records - Business Support Coordinator 1
Humana

Louisville, Kentucky

Posted in Insurance


This job has expired.

Job Info


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. Notify Supervisor of any deficiencies and refer to the Medical Records Review Coordinator for tracking.
  • 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.
Required Qualifications

  • Our Department of Defense contract requires U.S. Citizenship
  • Successfully receive interim approval for government security clearance (eQIP- Electronic Questionnaire for Investigation Processing)
  • Minimum of 1 year of medical record analysis experience
  • Excellent written and verbal communication skills
  • Must be able to lift at least 45 lbs. boxes (may need to come into office location on occasion)
  • Proficiency in all Microsoft Office Programs: Word, PowerPoint, Excel, Access, etc.
  • Familiarity with standards of practice for medical record documentation
  • We will requirefull COVID vaccination for this job as we are ahealthcarecompany committed to putting health and safety first for our members, patients, associates, and the communities we serve.
  • If progressed to offer, you will be required to provide proof of full vaccination where allowed by law. Medical and religiousexemptions will be considered on a case-by-case basis.
Preferred Qualifications
  • Prior healthcare or TRICARE experience
  • Experience with internet research and proof-reading/editing
Scheduled Weekly Hours

40


This job has expired.

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