P2P Appeals Coordinator
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Job Description
Coordinator scheduling payer peer-to-peer calls and documenting cases for CorroHealth, a healthcare revenue-cycle solutions provider. Supporting appeals, case entry, and payer communications remotely.
Responsibilities:
- Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors
- Call payers on cases past the Peer to Peer scheduled time frame
- Document information from payer calls in CorroHealth’s proprietary system
- Enter account status into multiple databases
- Support case entry, Peer to Peer, and appeals functions within the department
- Work independently while collaborating within a team setting
- Perform other duties as assigned
- Spend approximately 90% of the workday on the phone
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 is a plus
- Prior experience accessing hospital EMRs and payer portals preferred
- Proficient in MS Word and Excel
- Ability to use Excel formulas such as adding, subtracting, and multiplying
- Ability to copy and paste in cells and create multiple worksheets within a workbook
- Accurate keyboard skills
- Minimum typing speed of 30 wpm
- Strong verbal and written communication skills
- Detail-oriented and able to multitask across multiple screens and programs
- Ability to problem solve, seek resolution, and take initiative
- Ability to work independently and as part of a team
- Ability to work in a fast-paced environment
- Ability to keep client and sensitive information confidential
- Strict adherence to HIPAA/HITECH compliance
- Must be available Monday–Friday, 11:00 AM–8:00 PM EST
- Must reside in the United States
Benefits:
- Competitive hourly salary
- 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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