Coordinator, P2P Appeals

CorroHealth

1d•$19•Remote

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. About this position: Location: Remote (Within US Only) Required Schedule: Monday - Friday, 11:00 AM - 8:00 PM EST Hourly Salary starting at: $19.00 Our Denial Management department is responsible for managing denied inpatient referrals from our partnered clients, handling a consistently high volume of cases each day. We support approximately 100 facilities, utilizing a structured workflow coordinated through a dedicated queue schedule maintained in SharePoint. Each team member is assigned specific facilities or tasks but remains cross-trained to work across multiple areas to ensure seamless coverage and operational flexibility. The department functions exclusively as an outbound call center, with all incoming communication routed to a centralized mailbox for triage and follow-up.

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.
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.
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.

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.