Remote Care Coordination Representative

About the role

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

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.
• Handle high volumes of work with high quality and accuracy.
• Utilize strong data entry and typing skills to work quickly on a keyboard.
• Cross-train in multiple EHRs to provide additional team coverage when needed.
• Follow pre-defined filing processes; refer to company internal documentation or ask your supervisor for assistance as needed.
• Understand and utilize assigned clients’ protocols and Service Level Agreements.
• Track completed work to log time and transaction counts on an hourly basis or as directed by management.
• Know the Planning Guidelines (PGLs) or Target Transactions per Hour for client accounts.
• Complete all work as assigned by management.
• Report any reasons for variance to standard, including issues preventing or delaying planned job completion, and any actions taken to resolve them.
• Study and continually reference internal documentation and protocols.
• Exercise confidentiality concerning business affairs and follow HIPAA guidelines and procedures; report all HIPAA violations and maintain good HIPAA practices.
• Provide exemplary customer service to external customers, vendors, visitors, coworkers, and management with clear, professional, and courteous communication.
• Attend required meetings or training.
• Understand and comply with company/client agreed compliance standards.
• Perform other duties as assigned to ensure effective operation of the department and company.

Requirements

• 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.
• 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.