Remote Care Coordination Representative – Prior Authorizations 

***Must be able to work an Alaska time zone schedule***

Summary of Position:
The Care Coordination Representative is responsible for completing tasks related to assigned Care Coordination services (CCS) / Health Information Management (HIM) service. 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 position may be onsite, hybrid and/or remote allowing you to work from your own home office environment.

Duties & 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
• Ability to handle high volumes of work with high quality and accuracy
• Utilize strong data entry and typing skills with ability to move quickly on a keyboard
• Crosstrain in multiple EHRs to provide additional team coverage when needed
• Follow pre-defined filing processes, and if needed, refer to company internal documentation, or ask your supervisor for assistance in filing the document properly
• Understand and utilize assigned clients’ protocols and Service Level Agreement
• Track your completed work to log time and transaction counts on an hourly basis or as directed by management
• Know the PGLs(Planning Guidelines) 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 a variance to standard, including all issues preventing or delaying planned job completion, and report any actions taken to resolve
• Study and continually reference internal documentation and protocols
• Exercise confidentiality concerning the affairs of the business and follow HIPAA guidelines and procedures; report all HIPAA violations, maintain good HIPAA practices
• Expected to provide exemplary customer service to all, including external customers, vendors, visitors, coworkers, and management, with clear and effective communication, professionalism, and courtesy while representing the company
• Attend any meetings or training as required
• Understand and comply with company/client agreed compliance standards
• Understands that this role requires specific responsibilities for protecting sensitive data
• Perform other duties, as assigned, to ensure effective operation of the department and the Company

Minimum Qualifications:
• 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

Location: United States, Work at home

Job category: Technical Support Agent

Language: English

Do you love exploring the ways technology helps you do all your favorite things?

Do you love helping people and sharing your knowledge?

Do you want to grow your career with a company that rewards your hard work?

Do you want to improve your work / life balance and work from the comfort of your home?

What’s in it for YOU!

• $17.31 USD Starting Pay
• Plus performance-based incentives each month, earning potential
• Pay increases with continuous learning and advancement to new tiers of support
• Pay options to meet your needs: Daily Pay, Bi-Weekly Pay, Direct Deposit, and Pay Cards
• Health Benefits for you and your family, including: medical, dental, vision
• 401(k) Investment options with employer match opportunities
• Paid Vacation Time
• Computer Equipment Provided
• 100% REMOTE – Work-at-Home, including training
• Great Work/Life Balance while developing your career
• Position as a Transcom employee (not an independent contractor)
• Ability to develop your skills and grow your career
• An opportunity to work for a company passionate about people 

Join our Transcom Family as a Technical and Customer Experience Advisor!

You’ll be the friendly voice of our Telecommunications client to support their customers with smartphones, tablets, and computers. As a Technical and Customer Experience Advisor, you’ll listen to the caller and use your technical expertise, and passion for outstanding customer service, to answer questions about products and services, or troubleshoot technical issues to find solutions. In addition, customers may also have questions about services on their account, need help enrolling in or canceling a service, or disputing a charge. 

Listen below to hear a sample of the types of calls you’ll handle when you join our amazing team! 

Call Sample 1: https://dreambroker.com/channel/63uahzra/o30vts80

Call Sample 2: https://dreambroker.com/channel/63uahzra/3blz915a

Call Sample 3: https://dreambroker.com/channel/x6ojqbah/epzdpz7d 

Call Sample 4: https://dreambroker.com/channel/ysuhmltn/h08g77lv 

What we are looking for:

• We’ve got an exciting career opportunity for you, if you can:
• Effortlessly engage with callers, actively listen, analyze, and isolate tech issues
• Comfortably navigate multiple applications to research solutions
• Multitask in systems while patiently providing step-by-step instructions with a focus on accuracy and timeliness
• Calmly provide conflict resolution and navigate frustrated customer situations with an aptitude for service-orientation and social perceptiveness
• Work independently with discipline and motivation to succeed in a virtual environment where you work remotely with coworkers and supervisors from the comfort of your home.
• Work in a highly structured environment with strict adherence to your assigned full-time schedule taking high-volume inbound calls from customers.
• Work at a desk and wear an approved headset for the duration of a full-time schedule in order to talk to customers in a high-volume, fast-paced, and sometimes stressful environment

Requirements

The following items are mandatory pre-employment requirements and/or skills that are required to be successful in this role. The skills listed are skills that must be used daily and for a prolonged period of time, up to the full duration of your scheduled shift.

• At least 18 years or older
• High School Diploma, or equivalent
• Able to successfully pass a criminal background check
• Able to work a full-time work week of 32-40 hours, with overtime opportunities as needed
• Able to maintain 100% strict adherence to the assigned schedule
• Able to work a variety of shifts influenced by current business needs (including evenings, weekends, and holidays)
• Able to work full-time hours, with reliable attendance, as outlined in the assigned schedule
• Strong computer knowledge, including ability to accurately type at least 30 wpm
• Excellent English written and verbal communication skills
• Courteous and friendly with high level of professionalism
• Willingness to follow procedures and adhere to policies
• Able to communicate information and ideas so others will understand and able to exchange accurate information in these situations
• Able to multitask applications while talking to customers on the phone
• Able to thrive in a fast-paced, time-pressured, dynamic work environment taking back-to-back calls
• Able to actively listen to customer needs and demonstrate empathy – this includes having problem sensitivity – solve customer problems and be sensitive to others while you do it
• Highly adept at working with a high frequency of conflict situations, as well as upset customers
• Ability to work in an environment where you must sit, reach, communicate (verbally and electronically), type, read, multi-task, and concentrate in a prolonged setting.
• Able to use your hands to handle, control, or feel objects, tools, or controls
• Experience reviewing financial transactions and assisting customers that need help enrolling in or canceling a service, or disputing a charge, preferred
• Experience in a technical support role or troubleshooting technical issues, preferred
• Previous call center and/or work from home experience, preferred

Location Requirements

Must live and work in one of the following states:

AL, AR, FL, GA, ID, IN, IA, KS, KY, LA, MO, MS, NE, NH, NC, ND, OH, OK, *SC, SD, TN, TX, UT, VA, WI, WV
*We have a site in Greenville, South Carolina. We cannot accept remote applicants within 50 miles of the Greenville site.

Work at Home Requirements:

• Transcom provides you an all-in-one computer, monitor, and headset for this position. The computer contains a built-in webcam that is required to be used for training and meetings. 
• You must have a secure, quiet, distraction-free work environment without any conflicting responsibilities during your scheduled work shift, including caring for a family member.
• Your home office must be a private room with a door and cannot be a shared office space.
• Your monitor cannot face a window, if the office is on a ground floor.
• Your home office must have a DSL, Fiber, or Cable Internet that is hardwired into a modem/router via Ethernet. 
• (Dial up, Wireless, Mobile Hotspot, or Satellite internet service cannot be used)
• Your hardwired internet connection must meet the minimum speed requirements: 
• Minimum download speed 20 Mbps
• Minimum upload speed 3 Mbps
• Ping less than 100 ms or less

Although the computer is provided if you are hired, you will need a home desktop or laptop computer that is hardwired using an Ethernet connection to complete the typing and internet speed assessments during the application. This is a requirement to be considered for this employment opportunity. 

What Life at Transcom is like!

Transcom is a global customer experience specialist, providing customer care, sales, technical support and credit management services through our extensive network of contact centers and work-at-home agents. We are 30,000+ customer experience specialists at over 90 contact centers across 28 countries, delivering services in 33 languages to international brands in various industry verticals.

Right now, we are growing our virtual footprint in North America and currently hire remote employees in 26 states and 3 Canadian provinces. Proud to be recognized by FlexJobs as #8 on their list of the Top 100 companies to watch for remote work in 2025.

At Transcom, we’re relentlessly committed. To our clients and each other. Every day, someone starts their journey with Transcom. Taking the potential they have today, and turning it into skills for the future. Getting recognized for working hard, being a team player, and supporting others. Championing positive, lasting change in their teams and communities. That’s just how we are at Transcom. Here we care, and root for each other. You’re included, just as you are, from day one. And with the right mindset, there’s no end to how far we can go together. 

We are the voice of our clients. We are Transcom. 

We are passionate about people and look forward to meeting you!