Coordinator, P2P Appeals Managment

CorroHealth • IL

111d • $18

About The Position

Corro Clinical, a division of CorroHealth, is an innovative, rapidly growing organization that helps hospitals improve financial performance by benchmarking hospital performance by payer and functional area, identifying sources of lost revenue or risk, creating, and implementing operational solutions to address the issues uncovered, and monitoring ongoing results. The company has a vibrant culture that strives to promote a positive work-life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.

Requirements

• High School Diploma or equivalent required.
• Bachelor’s degree preferred.
• Call center experience 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.
• Proficient in MS Word and Excel.
• Accurate keyboard skills with a minimum typing speed of 30wpm.

Nice To Haves

• Detail-oriented.
• Ability to multi-task and work on multiple screens and programs.
• Problem-solving skills and initiative.
• Ability to work in a fast-paced environment.

Responsibilities

• 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.
• Work independently but also collaborate and work within a team setting.
• Perform other duties as assigned.

What This Job Offers

• Education Level: High school or GED