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