Posted Thursday, June 11, 2026 at 5:00 AM
Care Coordination Representative III
Summary of Position:
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.
Duties & Responsibilities:
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
Minimum 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