Remote Care Coordination Representative III

Care Coordination Representative III

Summary of Position:

The Care Coordination Representative III (CCR III) is responsible for processing assigned work for the service line assigned while maintaining a high level of precision, efficiency, and productivity-driven metrics. The CCR III is fluent in multiple electronic medical records (EMRs) and client specific SOPs and comfortable navigating through systems and software to ensure efficiency and accuracy in a fast-paced environment. As a subject matter expert, this position is responsible for providing training and coaching to other CCR based out of a Verisma facility, at a client site and/or remotely.

Duties & Responsibilities: 

Process assigned tasks in a timely and efficient manner

Process audits as assigned and provide feedback to peers and supervisor

Recommend process improvements to peers and supervisor

Ability to read and interpret medical records, forms, and authorizations

Serve as an escalation point and resolution for HIPAA-related release issues

Act as a role model and lead by example through demonstrating excellent organizational skills, time management and professionalism

Proactively communicates with supervisor(s) and peers regarding questions, concerns, and processes

Assist with queue management and coverage, as needed

Ability to seamlessly shift to support other accounts

Utilize reference materials provided by Verisma to ensure compliance and confidentiality is always maintained

Serve as training mentor and subject matter expert

Assist in maintaining and updating CCR training/reference materials

Maintain strong knowledge of HIPAA, HITECH, state-federal rulings, and statutes, as well as customer specific requirements

Foster positive relationships and friendly demeanor through providing exemplary customer service

Attend training sessions, as required

Live by and promote Verisma Core Values

Perform other related duties, as assigned, to ensure effective operation of the department and the Company

Minimum Qualifications: 

HS Diploma or equivalent, some college preferred

At least 5 years of prior medical record, ROI or Health Information Management (HIM) experience

Knowledge of HIPAA and state regulations related to the release of Protected Health Information Strong problem-solving skills and attention to detail

Must maintain strong organizational and time management skills

Able to train and support colleagues seeking resolution with complex requests

Fluent in Microsoft Office Suite, EMRs and comfortable learning new technology/software

Must be able to work independently and assist others while exceeding volume and quality standards