Remote Referral Specialist

About the role

This position 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. The Care Coordination Representative reports directly to the Operations Supervisor. This role may be onsite, hybrid, or fully remote, allowing you to work from your own home office environment.

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 with the ability to move 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 the client accounts you are working on.
• Complete all work as assigned by management.
• Report to management 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 the affairs of the business, 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 and effective communication, professionalism, and courtesy.
• Attend meetings or training as required.
• Understand and comply with company/client agreed compliance standards.
• Perform other duties as assigned to ensure effective operation of the department and the 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.