[Hiring] Care Coordination Representative III @Verisma

Role Description

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.

• 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

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