Care Coordination Representative
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Remote Care Coordination Representative processing health information, referrals, authorizations, and patient forms. Managing EHR filing, compliance, data entry, and client service protocols.
Responsibilities:
- Process assigned Care Coordination Services and Health Information Management tasks
- Evaluate medical documents and electronically file them into patient charts
- Manage orders, referrals, insurance verifications, prior authorizations, and patient medical forms
- Navigate client electronic health records (EHR) software and internal systems
- Handle high volumes of work with quality and accuracy
- Use data entry and typing skills to process work efficiently
- Cross-train in multiple EHRs to provide additional team coverage
- Follow defined filing processes and consult documentation or supervisors when needed
- Apply client protocols, Service Level Agreements, Planning Guidelines, and target transactions per hour
- Track completed work, time, and transaction counts
- Complete assigned work and report variances, delays, and resolution actions to management
- Maintain HIPAA practices and report violations
- Provide professional and courteous customer service to customers, vendors, visitors, coworkers, and management
- Attend required meetings and training
- Perform other assigned duties to support department and company operations
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
- 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
- Must follow HIPAA guidelines and procedures and maintain confidentiality concerning business affairs and sensitive data
- Must comply with company/client agreed compliance standards
Benefits:
- Remote work from your own home office environment
- Occasional after-hours or weekend work may be required
- Training and meetings as required
Similar Jobs
Informatics Lead Development Representative, German
Lead generation representative qualifying life-science sales prospects for Revvity. Conducting outbound outreach, researching accounts, and supporting regional sales teams across Europe.
Patient Services Representative
Remote Patient Services Representative handling patient calls, billing questions, payments, and account issues. Supporting USACS healthcare operations while providing HIPAA-compliant customer service.
Patient Services Representative
Patient Services Representative supporting patients for Willow, a personalized cosmetic weight loss telehealth company. Handling inquiries, complaints, records, and account workflows across remote support channels.
Industrial Technical Services Representative
Industrial waste sales representative supporting hazardous-waste customers for WM’s environmental collection, recycling, and disposal services. Advising customers on compliant transportation, disposal, profiles, and sales solutions.
Retention Field Representative
Wellcare Field Retention Representative retaining Orlando-area healthcare members through telephonic and field outreach. Explaining products, resolving inquiries, and documenting member interactions.
Retention Field Representative
Field representative retaining Wellcare healthcare membership across New York City boroughs. Conducting member outreach, education, issue resolution, and field visits.
Retention Field Representative
Fidelis Care Field Retention Representative retaining health plan members through telephonic and community outreach. Conducting visits, answering product questions, and documenting member interactions across Oneida County.
Eligibility Representative, Specialty
Insurance verification coordinator supporting specialty pharmacy and infusion patients for Evernorth. Verifying coverage, authorizations, reimbursement documents, and financial assistance requirements.
Senior Representative, BPS Middle Office
Senior Middle Office Representative administering CLO/CDO transactions for FIS’s alternative investment technology and services business. Managing reconciliations, waterfalls, cash movements, reporting, and counterparties.
Upsell Representative
Upsell Representative growing Arketa’s fitness and wellness software revenue through add-on and Payroll sales. Owning expansion conversations, demos, pipeline, and quota performance.
Specialty Representative, GI Care
Specialty Representative selling AbbVie GI care medicines across Trenton-area healthcare accounts. Managing territory strategy, customer relationships, sales performance, and clinical market intelligence.
Lead Patient Representative – Telehealth
Lead Patient Representative coordinating telehealth access operations at Cincinnati Children’s. Supporting patient services, quality auditing, compliance, and Agentic Voice AI monitoring.
Field Experience Representative
Field Experience Representative promoting Superfeet footwear products across Texas and Oklahoma. Driving retail sales through customer events, account visits, sales associate training, and territory development.
Multi-Line Representative
Remote Texas insurance representative serving customers across State Farm’s insurance and financial services products. Building client relationships, supporting office operations, and promoting community awareness.
Specialty Representative, Gastroenterology
AbbVie specialty representative driving gastroenterology sales across Miami-area immunology accounts. Managing territories, healthcare-provider relationships, brand strategy, and sales performance.
Senior Medical Representative
Senior Medical Representative promoting AbbVie immunology products in Shanghai. Building healthcare-professional relationships and delivering compliant medical communications.
Senior Professional Medical Representative
Senior Medical Representative promoting AbbVie oncology products in China. Building compliant academic relationships with healthcare professionals and gathering market insights.
Provider Field Representative
Provider Field Representative supporting California Medi-Cal providers for Gainwell Technologies. Delivering provider education, claims support, and onsite and virtual outreach across assigned California territories.
Customer Representative – Contract Opportunity
Remote customer service representative supporting callers for client programs. Handling inquiries, documenting interactions, and pursuing performance-based advancement.
Inbound Lead Development Representative
Inbound lead representative supporting payroll customers through phone, chat, and email. Handling multilingual service, troubleshooting, documentation, and escalations for Harte Hanks.