Remote Care Coordination Representative

Verisma; United States; Hybrid; USD 45,000 - 65,000; Full time

Job summary

Verisma is seeking a Care Coordination Representative to manage CCS/HIM tasks, including e-Filing, order and referral management, insurance verifications, prior authorizations, and patient forms, with emphasis on accuracy and HIPAA compliance.

You will work with multiple EHR systems, log time and transactions, and support the Operations Supervisor in meeting client SLAs, with a flexible onsite/hybrid/remote work arrangement.

Qualifications

• Strong data entry and typing skills.
• Ability to navigate multiple EHR systems.
• Familiarity with HIPAA guidelines.

Responsibilities

• Process tasks with accuracy and efficiency per client protocols.
• Evaluate medical documents and file electronically into patient charts.
• Navigate client EHR software and internal systems with ease.
• Handle high volumes of work with quality and speed.
• Log time and transactions per hour or as directed.

Skills

Data entry

Typing speed

HIPAA compliance

EHR navigation

Job description

Care Coordination Representative

Summary of Position

The Care Coordination Representative is responsible for completing tasks related to assigned Care Coordination services (CCS) / Health Information Management (HIM) service. CCS services include e-Filing (electronic filing), order and referral management, insurance verifications, prior authorizations, and completing patient medical forms. The Care Coordination Representative reports directly to the Operations Supervisor. This position may be onsite, hybrid and/or remote allowing you to work from your own home office environment.

Duties & Responsibilities

• Process assigned tasks with a focus on accuracy, efficiency, and compliance with client protocols
• Evaluate medical documents and file them electronically into patient charts
• Navigate client electronic health records(EHR)software and internal systems with ease
• Ability to handle high volumes of work with high quality and accuracy
• Utilize strong data entry and typing skills with ability to move quickly on a keyboard
• Crosstrain in multiple EHRs to provide additional team coverage when needed
• Follow pre-defined filing processes, and if needed, refer to company internal documentation, or ask your supervisor for assistance in filing the document properly
• Understand and utilize assigned clients’ protocols and Service Level Agreement
• Track your completed work to log time and transaction counts on an hourly basis or as directed by management
• Know the PGLs(Planning Guidelines) or Target Transactions per Hour for the client accounts you are working on
• Complete all work as assigned by management
• Report to management any reasons for a variance to standard, including all issues preventing or delaying planned job completion, and report any actions taken to resolve
• Study and continually reference internal documentation and protocols
• Exercise confidentiality concerning the affairs of the business and follow HIPAA guidelines and procedures; report all HIPAA violations, maintain go