Coordinator, P2P Appeals

CorroHealth

2d•$18•Remote

About The Position

About Us: 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. JOB SUMMARY: 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. About this position: Location: Remote (Within US Only) Required Schedule: Monday - Friday, 11:00 AM - 8:00 PM EST Hourly Salary: $18.27

Requirements

Must love communicating with others over the phone.
Strong verbal and written communication skills.
Will need to articulate to payors what is needed and be able to quickly document any relevant information that is obtained.
Detail-oriented.
This position requires 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.
You will be working to solve issues, so someone who likes to problem solve, seeks resolution and likes to take initiative will be a great fit!
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.
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.

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.
You will work independently but must also be able to collaborate and work within a team setting.
Perform other duties as assigned.