Coordinator, P2P Appeals

CorroHealth•PA-Remote, PA

2d•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. This is a REMOTE position within the US only. The required schedule is Monday - Friday, 11:00 AM - 8:00 PM EST. The role involves being on the phone approximately 90% of the day, calling payers to schedule Peer to Peer calls with CorroHealth Medical Directors, and calling payers on cases that are past the Peer to Peer scheduled time frame. You will document information from payer calls in CorroHealth proprietary system, enter account status into multiple databases, and 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. Other duties as assigned.

Requirements

Must love communicating with others over the phone
Strong verbal and written communication skills
Detail-oriented
Ability to multi-task, work on multiple screens and programs at a time
Ability to toggle back and forth and keep everything organized
Problem-solving skills, 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
In excel you must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying
Should be able to copy in past in cells as well as 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

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 calls 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
Perform other duties as assigned