Coordinator, P2P Appeals

Corrohealth

228d • $18 • Remote

About The Position

Corro Clinical, a division of CorroHealth, is an innovative, rapidly growing physician-led 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; able to type a minimum of 30wpm.

Nice To Haves

• Strong verbal and written communication skills.
• Detail-oriented with the ability to multi-task and work on multiple screens and programs.
• Problem-solving skills and initiative.
• Ability to work in a fast-paced environment.
• Strict adherence to HIPAA/HITECH compliance.

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.

Benefits

• 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
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED