Appeals Coordinator – Peer to Peer

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🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors • Call payers on cases that are 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 day 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 • Able to use Excel formulas including addition, subtraction, and multiplication • Able 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 • Able to problem solve, seek resolution, and take initiative • Able to work independently and as a team player • Able to work in a fast-paced environment • Must keep client and sensitive information confidential • Strict adherence to HIPAA/HITECH compliance • Must be able to work Monday–Friday, 10:00 AM–7:00 PM EST • Must be able to work at a computer terminal for 6–8 hours per day • Infrequently, able to lift and move material weighing up to 20 lbs.

🏖️ 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!