Coordinator, P2P Appeals

Summary

CorroHealth helps clients improve financial health through reimbursement-cycle solutions, clinical expertise, and analytics-driven programs. The Coordinator, P2P Appeals schedules Peer to Peer calls with payers, documents call information, updates account statuses across databases, and supports case entry, Peer to Peer, and appeals functions in a remote team environment.

Responsibilities

• You will be on the phone approximately 90% of the day
• Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors
• Call payers on cases that are past Peer to Peer scheduled time frame
• Document information from payer call in CorroHealth proprietary system
• Enter account status into multiple databases
• Support various functions within the department such as case entry support, Peer to Peer support, and appeals support
• You will work independently but must also be able to collaborate and work within a team setting
• Perform other duties as assigned

Skills

• Must love communicating with others over the phone
• Strong verbal and written communication skills
• Detail-oriented
• The ability to multi-task, work on multiple screens and programs at a time, so must be able to toggle back and forth and keep everything organized
• Someone who likes to problem solve, seeks resolution and likes to take initiative
• Works independently but is a team player
• Able to work in a fast-paced environment
• High School Diploma or equivalent required
• Proficient in MS Word and Excel
• In excel you must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying. You should be able to copy in past in cells as well as create multiple worksheets within a workbook
• Accurate keyboard skills
• You should be able to type a minimum of 30wpm
• Bachelor's degree preferred
• Call center experienced preferred
• Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines, a plus
• Prior experience of accessing hospital EMR's and Payer Portals preferred

Qualifications

Must Haves

• Must love communicating with others over the phone
• Strong verbal and written communication skills
• Detail-oriented
• the ability to multi-task, work on multiple screens and programs at a time, so must be able to toggle back and forth and keep everything organized
• someone who likes to problem solve, seeks resolution and likes to take initiative
• Works independently but is a team player
• Able to work in a fast-paced environment
• High School Diploma or equivalent required
• Proficient in MS Word and Excel
• In excel you must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying. You should be able to copy in past in cells as well as create multiple worksheets within a workbook
• Accurate keyboard skills
• You should be able to type a minimum of 30wpm

Nice to Haves

• Bachelor's degree preferred
• Call center experienced preferred
• Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines, a plus
• Prior experience of accessing hospital EMR's and Payer Portals preferred

Benefits

• This is a REMOTE position. Within US only.
• Remote (Within US Only) equipment provided
• Medical/Dental/Vision Insurance
• Equipment provided
• 401k matching program
• PTO: 80 hours accrued, annually
• 9 paid holidays
• Tuition reimbursement
• Professional growth and more!