Scheduler, Healthcare

Overview

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 Florida.

• Role is production driven, high paced and requires remarkable communication skills
• Daily phone calls to provider offices and the ability to schedule appointments to meet production goals
• Daily research of open sites, member and provider information
• Role is production driven and fast paced
• Multiple tasks throughout the day, prioritize while staying organized and maintain a professional composure at all times
• Daily activities include working in the scheduling system (Cotiviti), monitoring and maintaining hundreds of provider locations, working with copy services and fielding retrieval associate calls
• Process reports from Cotiviti and vendor support teams
• Interacts with provider staff; consisting of front desk associates, office managers, nurses, medical record associates as well as individual doctors
• Represent Care Plus; candidate must act in a professional manner
• Other tasks include researching projects, trouble shooting for retrieval staff, effectively managing email and phone calls and working within instant messaging (Teams)

• 1 or more years of Telephonic customer service (in past 5 years)
• 1 or more years Healthcare exp
• 1 or more years Medical Record experience
• Proficient in Microsoft Word and Excel
• Microsoft Outlook
  - Proficient in calendar management
• Live in Central or Southern Florida

• Strong written and verbal communication skills; strong analytical, organizational and time management skills
• Administrative, medical administration or provider office experience
• Knowledge and experience in health care environment/managed care
• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
• Medical Record Retrieval knowledge
• Care Plus claims experience
• Cotiviti experience

• Schedule:
  
  Monday - Friday, 8am to 5pm EST

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

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 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

Internal:
If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/viva engage and searching Ask A Recruiter. Please be sure to provide the requisition number so we may be…