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