P2P Appeals Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Contact payers to arrange Peer to Peer discussions with CorroHealth Medical Directors

• Reach out to payers regarding cases that are beyond the scheduled Peer to Peer timeframe

• Record details from payer conversations in CorroHealth’s proprietary system

• Update account statuses across various databases

• Assist with case entry, Peer to Peer interactions, and appeals processes within the department

• Operate independently while collaborating effectively within a team environment

• Undertake additional tasks as assigned

• Spend around 90% of the workday on phone calls

⛳️ Requirements

• This position is remote and available only within the US

• Required Schedule: Monday - Friday, 11:00 AM - 8:00 PM EST

• Must be enthusiastic about communicating with others via phone

• Excellent verbal and written communication skills

• Ability to clearly convey requirements to payors and swiftly document pertinent information

• Detail-oriented with the capacity to multitask across several screens and applications

• Strong problem-solving abilities, resolution-focused mindset, and proactive initiative

• Capable of working independently as well as part of a team

• Comfortable in a fast-paced work environment

• Obligated to maintain confidentiality of all client and sensitive information

• Must strictly adhere to HIPAA/HITECH compliance

• High School Diploma or equivalent is required

• Bachelor’s degree is preferred

• Experience in a call center setting is preferred

• Familiarity with denial processes for Medicare, Medicaid, and Commercial/Managed Care product lines is advantageous

• Previous experience with hospital EMRs and payer portals is preferred

• Proficient in MS Word and Excel

• Capable of using Excel formulas including addition, subtraction, and multiplication

• Ability to copy and paste within cells and create multiple worksheets in a workbook

• Accurate typing skills with a minimum speed of 30 wpm

• Ability to engage in computer-based tasks for 6-8 hours a day

• Capability to sit for extended periods

• Occasionally able to lift and move materials weighing up to 20 lbs.

🏝️ Benefits

• Competitive hourly wage

• Medical, Dental, and Vision Insurance

• Equipment provided

• 401k matching (up to 2%)

• PTO: 80 hours accrued annually

• 9 paid holidays

• Tuition reimbursement

• Opportunities for professional growth and more!

• Reasonable accommodations may be provided to enable individuals with disabilities to perform essential functions