Coordinator, Appeals Management

CorroHealth • OH

89d • $18 - $18

About The Position

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. The Coordinator, Appeals Management position is part of our Denial Management department, which is responsible for managing denied inpatient referrals from our partnered clients, handling a consistently high volume of cases each day. This position is remote within the US only, with a required schedule of Monday - Friday, 8:00 AM - 5:00 PM EST.

Requirements

• Must love communicating with others over the phone.
• Computer proficient with intermediate skills in Outlook and Excel.
• Must be able to schedule meetings, log onto Teams for meetings.
• Must be able to open a new Excel workbook, use formulas such as adding and subtracting, copying and pasting.
• Must be able to type a minimum of 25 wpm.
• Detail oriented and shows initiative and responsibility in taking necessary steps towards problem resolution.
• Works independently but is a team player.
• Able to work in a fast-paced environment.
• Possess good verbal and written communication skills.
• Required to keep all client and sensitive information confidential.
• Strict adherence to HIPAA/HITECH compliance.

Nice To Haves

• Bachelor’s degree preferred.
• Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines.
• Prior experience of accessing hospital EMRs and Payer Portals preferred.
• Proficient in MS Word and Excel.
• Basic skills in Outlook.

Responsibilities

• Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination.
• Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner.
• Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system.
• Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy.
• Monitor and complete tasks within shared inboxes and internal request dashboards.
• Receive and document incoming emails, calls, tickets, or voicemails.
• Follow up with the client or internal staff via email or phone for additional information as requested.
• Export and upload documents within CorroHealth proprietary system.
• Cross-trained on various functions within the department to support other teams as needed.
• Other responsibilities as requested by management.

Benefits

• Hourly salary $18.27 (firm).
• Medical/Dental/Vision Insurance.
• Equipment provided.
• 401k matching (up to 2%).
• PTO: 80 hours accrued, annually.
• 9 paid holidays.
• Tuition reimbursement.
• Professional growth and more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED