Remote Care Coordination Representative

Verisma; United States; Hybrid; USD 42,000 - 62,000; Full time

Job summary

Verisma seeks a Care Coordination Representative to handle CCS/HIM tasks including e-Filing, order and referral management, and prior authorizations. You will work with patient forms and navigate EHR systems, ensuring accuracy and HIPAA compliance.

The role offers remote-capable options with potential onsite/hybrid arrangements and requires strong data entry skills, attention to detail, and the ability to manage high-volume workflows.

Qualifications

• High School Diploma or equivalent is required.
• Experience with health information management concepts and EHRs is a plus.
• Proficient data entry and ability to work accurately in a fast-paced environment.
• Proficient with Microsoft Office and adapting to company software.

Responsibilities

• Process assigned tasks with accuracy, efficiency, and client protocols.
• Evaluate medical documents and file them electronically into patient charts.
• Navigate client EHR software and internal systems with ease.
• Handle high-volume work with quality and accuracy.
• Perform data entry with fast keyboard skills.
• Crosstrain in multiple EHRs for coverage when needed.
• Follow filing processes and consult supervisor as needed.
• Understand client protocols and SLAs.
• Log time and transactions hourly as directed.
• Know Planning Guidelines or TP Hours for accounts.
• Complete all work as assigned by management.
• Report variances and issues to management and resolve actions.
• Study internal docs and HIPAA procedures.
• Provide exemplary customer service to all stakeholders.
• Attend meetings or training as required.
• Understand compliance standards.
• Protect sensitive data responsibilities.
• Perform other duties as assigned.

Skills

Data entry accuracy

High-volume multitasking

Attention to detail

HIPAA compliance

Remote-capable work

Education

High School Diploma or equivalent

Tools

EHR software

Microsoft Office Suite

Job description

Posted Monday, August 10, 2026 at 5:00 AM

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 theOperations 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 delayingplanned 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 good HIPAA practices
• Expected to provide exemplary customer service to all, including external customers, vendors, visitors, coworkers, and management, with clear and effective communication, professionalism, and courtesy while representing the company
• Attend any meetings or training as required
• Understand and comply with company/client agreed compliance standards
• Understands that this role requires specific responsibilities for protecting sensitive data
• Perform other duties, as assigned, to ensure effective operation of the department and the Company

Minimum Qualifications:

• High School Diploma or equivalent required
• Experience with health information management concepts, EHRs and/or medical terminology is a plus
• Proficient in managing a high-volume, fast-paced environment with accuracy
• Intermediate computer skills, including Microsoft Office Suite and the ability to adapt to company-specific software
• Capable of efficiently navigating multiple open programs, windows and applications
• Strong attention to detail and accuracy
• Must be able to perform physical tasks such as sitting, talking, hearing, using hands, reaching, standing, walking, driving, and occasionally lifting up to 25 lbs
• Occasional after-hours or weekend work may be required
• Ability to fulfill responsibilities in a remote capacity while ensuring access to strong/reliable internet within a designated, secure and private workspace