Records Retrieval Representative
Humana —Montgomery, AL
- $40,000 - $52,300 a year
- Full-time
- Microsoft Outlook
- Up to 50% travel
- Customer service
- Paid parental leave
- Paid holidays
9d
Call Center/Customer Service Rep
Automated Health Systems —Montgomery, AL
- $14 - $17 an hour
- Remote
- Bilingual
- Mid-level
- High school diploma or GED
- Wellness program
- Opportunities for advancement
Quick Apply
Medicaid Claims Operations Manager
General Dynamics Information Technology —Montgomery, AL
- $111,155 - $150,385 a year
- Hybrid work
- Background check
- 5 years
- Office
- Paid time off
- 401(k) matching
Licensed Professional Counselor
Headway —Alabama
- Up to $127 an hour
- Remote
- Private practice
- Master's degree
- Senior level
Licensed Mental Health Counselor
Headway —Alabama
- Up to $127 an hour
- Remote
- Private practice
- Mid-level
- Master's degree
Urgent Care Physician (MD/DO)
Stopwatch Urgent Care Center, LLC —Alabama
- $115 - $140 an hour
- Full-time
- Medicine
- BC/BE
- BLS Certification
- Travel reimbursement
- Health savings account
Quick Apply
Licensed Professional Counselor (LPC) - Telehealth (AL)
VieMed Healthcare Staffing —Alabama
- School experience
- LPC
- HIPAA
Quick Apply
9d
Licensed Independent Clinical Social Worker (LICSW) - Telehealth (AL)
VieMed Healthcare Staffing —Alabama
- School experience
- HIPAA
- Mid-level
Quick Apply
9d
Nurse Practitioner/Physician Assistant
MainStreet Family Care —Montgomery, AL
- Extended hours
- Nursing
- Microsoft Excel
- Urgent Care
- Paid training
- Health insurance
Quick Apply
Medicare Sales Agent - Independent Contractor (1099) Opportunity
MyPlanAdvocate —Alabama
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
Licensed Master Social Worker (LMSW)--Telehealth (AL)
VieMed Healthcare Staffing —Alabama
- School experience
- Master of Social Work
- HIPAA
Quick Apply
2d
Hospice Registered Nurse
Gentiva —Montgomery, AL
- Full-time
- CPR Certification
- Nursing
- Medication administration
Quick Apply
Medicare Sales Field Agent
Humana —Montgomery, AL
- $31,800 - $123,800 a year
- Weekends as needed
- Microsoft Excel
- Local
- Public speaking
- Paid parental leave
- Paid holidays
10d
Remote Independent Medicare Sales Agent (1099)
MyPlanAdvocate —Alabama
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
Account Manager, Medicaid Operations
Conduent State Healthcare, LLC —Montgomery, AL
- $117,000 - $140,000 a year
- Email
- 5 years
- Office
- Bachelor's degree
- Paid training
- Paid holidays
Systems Manager
General Dynamics Information Technology —Montgomery, AL
- $128,039 - $173,229 a year
- Hybrid work
- Background check
- Computer Science
- System design
- Paid time off
- 401(k) matching
COMPLIANCE COORDINATOR/TRAINER
Rite of Passage, Inc. —Montgomery, AL
- Full-time
- Clean driving record
- Current TB test
- Writing skills
Quick Apply
13d
Provider Enrollment/Credentialing Coordinator
Jackson Hospital and Clinic —Montgomery, AL
- Medical office experience
- Research
- Mid-level
Quick Apply
Customer Relations Operations Manager
Conduent State Healthcare, LLC —Montgomery, AL
- $97,790 - $127,000 a year
- Email
- Background check
- Computer Science
- Office
- Paid training
- Paid holidays
Privacy Officer (MMIS)
Conduent State Healthcare, LLC —Montgomery, AL
- $119,350 - $155,000 a year
- Email
- Customer service
- HIPAA
- Office
- Paid holidays
- Disability insurance

I want to receive the latest job alert for medicaid in montgomery, al

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medicaid jobs near montgomery, al

Nurse Practitioner jobs in Montgomery, AL

Hospice Nurse jobs in Montgomery, AL

Licensed Professional Counselor jobs in Alabama

Medicare Agent jobs in Alabama

Account Manager jobs in Montgomery, AL

Call Center Representative jobs in Montgomery, AL

Licensed Clinical Social Worker jobs in Alabama

Mental Health Technician jobs in Alabama

Systems Project Manager jobs in Montgomery, AL

Urgent Care Physician jobs in Alabama

Nurse Practitioner jobs in Detroit, MI

Nurse Practitioner jobs in Shreveport, LA

Nurse Practitioner jobs in Skokie, IL

Nurse Practitioner jobs in Downers Grove, IL

Nurse Practitioner jobs in Washington, DC

Nurse Practitioner jobs in Des Plaines, IL

Plastic Surgery Nurse jobs in Indianapolis, IN

Outpatient Nurse jobs in Ventura County, CA

Medicare Agent jobs in Pittsburgh, PA

Medicare Agent jobs in Arizona

Records Retrieval Representative

Humana -
Montgomery, AL

Apply Now

Job Details

Full-time
$40,000 - $52,300 a year
9 days ago

Benefits

Paid parental leave
Caregiver leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
Life insurance

Qualifications

Microsoft Outlook
Managed care
Customer service
Managed care organization experience
Medical office experience
Meeting scheduling
Driver's License
Microsoft Teams
Video conferences (communication methods)
Managing patient records
Video conferencing systems operation

Full Job Description

Become a part of our caring community

The Medical Records Retrieval Representative (Risk Adjustment Representative 2) conducts quality assurance audits of medical records and ICD‑9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field‑based responsibility, requiring travel to provider offices to retrieve, review, and validate medical records on‑site in or around Montgomery, AL.

The Medical Records Retrieval Representative performs moderately complex administrative and operational tasks in a remote and field‑based, structured environment, with a focus on accuracy, compliance, and efficiency. You will report to the Supervisor, Risk Adjustment Administration.

Work Schedule:

The normal business hours for this position are Monday – Friday from 8:00 am – 5:00 pm CST.
Occasional schedule flexibility may be required to support business needs.

Travel Requirements:

Must reside within Montgomery, AL or surrounding areas; specifically, Pike, Crenshaw, Butler, Bullock, Lowndes, Autauga, or Elmore counties.
Ability to travel up to 50% of the time at peak season, as needed.
Must have reliable transportation.

What You'll Do:

You will collect medical records to ensure accuracy of member information and obtain provider signatures.
Upload verified documents to Cotiviti centralized repository.
Follow state and federal regulations as well as internal policies and guidelines while retrieving medical records.
Interpret and apply departmental procedures to complete assignments with accuracy and efficiency.
Use a laptop computer and a portable scanner and encrypted flash drive to retrieve medical records which will be uploaded into a database.
Communicate with physician offices by phone and email to efficiently meet all deadlines.
Maintain strict confidentiality and safeguard protected health information (PHI) in compliance with HIPAA guidelines.
Independently manage workload within defined service level expectations.

Use your skills to make an impact

Required Qualifications

1 or more years of customer service experience.
1 or more years with medical records experience.
Knowledge or experience in health care environment/managed care (provider office, billing, coding, release of information, etc.).
Experience utilizing Microsoft Teams and Outlook daily to coordinate meetings, manage calendars, and support internal communication.
Experience handling high task volume across parallel workflows consistently, follow up, and a high standard of professional conduct.
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Preferred Qualifications

Bachelor's degree in a related field.
Knowledge of ICD-9/10 codes.
Knowledge of medical terminology.
Experience and comfort with EMR systems.

Additional Information

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

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.

$40,000 - $52,300 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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.

Apply Now

Refine Your Search

medicaid jobs in montgomery, al

Records Retrieval Representative

Call Center/Customer Service Rep

Medicaid Claims Operations Manager

Licensed Professional Counselor

Licensed Mental Health Counselor

Urgent Care Physician (MD/DO)

Licensed Professional Counselor (LPC) - Telehealth (AL)

Licensed Independent Clinical Social Worker (LICSW) - Telehealth (AL)

Nurse Practitioner/Physician Assistant

Medicare Sales Agent - Independent Contractor (1099) Opportunity

Licensed Master Social Worker (LMSW)--Telehealth (AL)

Hospice Registered Nurse

Medicare Sales Field Agent

Remote Independent Medicare Sales Agent (1099)

Account Manager, Medicaid Operations

Systems Manager

COMPLIANCE COORDINATOR/TRAINER

Provider Enrollment/Credentialing Coordinator

Customer Relations Operations Manager

Privacy Officer (MMIS)

I want to receive the latest job alert for medicaid in montgomery, al

Related Searches

Explore jobs in more locations

Become a part of our caring community

Use your skills to make an impact

About us

Job Seeker Tools

Employer Tools

Browse

Stay Connected