Coordinator, P2P Appeals Mgt.

CorroHealth
$18 - $18Remote

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. 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. This position is remote (Within US Only) with a required schedule of Monday - Friday, 11:00 AM - 8:00 PM EST. The hourly salary is $18.27.

Requirements

  • Must love communicating with others over the phone.
  • Strong verbal and written communication skills.
  • Ability to articulate to payors what is needed and quickly document any relevant information that is obtained.
  • Detail-oriented.
  • Ability to multi-task, work on multiple screens and programs at a time, and toggle back and forth while keeping everything organized.
  • 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.
  • Required to keep all client and sensitive information confidential.
  • Strict adherence to HIPAA/HITECH compliance.
  • High School Diploma or equivalent required.
  • Proficient in MS Word and Excel (able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying, copy and paste in cells, and create multiple worksheets within a workbook).
  • Accurate keyboard skills.
  • 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.

Responsibilities

  • 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.
  • Work independently but also be able to 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!

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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