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Scheduler Risk Adjustment Representative
Scheduler Risk Adjustment Representative-July 2024
Flexible / Remote
Jul 31, 2026
ABOUT HUMANA
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized whole-person healthcare experiences.
10,000+ employees
Healthcare
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About Scheduler Risk Adjustment Representative

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

  

  Scheduler/Risk Adjustment Representative 3 position is a scheduling role for record retrieval associates in Gulf South Risk Adjustment team.

  The Scheduler/ Risk Adjustment Representative 3 is scheduling up to 500 + Humana provider locations for Alabama, Tennessee, Mississippi, Louisiana, and SW Virginia.

  Responsibilities:

  Daily phone calls to provider offices and the ability to schedule appointments to meet production goals.Role is production driven, high paced and requires remarkable communication skillsMultiple tasks throughout the day, prioritize while staying organized and maintain a professional composure at all timesCalling and speaking with provider offices to schedule appointments, ensuring accuracy of the scheduling database and researching provider locationsDaily activities include working in the scheduling system (Cotiviti), monitoring and maintaining hundreds of provider locations, working with copy services and fielding retrieval associate callsInteracts with provider staff; consisting of front desk associates, office managers, nurses, medical record associates as well as individual doctors. Phone calls are not always pleasant, professional composure is key and required for the role

  

  Use your skills to make an impact

  

  Required Qualifications

  2 or more years of administrative, medical administration or provider office experienceProficient in Microsoft Office Word and ExcelMicrosoft Outlook- Proficient in calendar managementWorking knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systemsReliable vehicle transportationThis role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits

  Preferred Qualifications

  Strong written and verbal communication skills, strong analytical, organizational and time management skillsKnowledge and experience in health care environment/managed careKnowledge of ICD-10 codes

  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 or computer 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.

  Work at Home Guidance

  To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

  At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipAssociates 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

  Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

  Scheduled Weekly Hours

  40

  

  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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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