Coordinator, Appeals Management

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🔥 14 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

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

• Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination • Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner • Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system • Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy • Monitor and complete tasks within shared inboxes and internal request dashboards • Receive and document incoming emails, calls, tickets, or voicemails • Follow up with the client or internal staff via email or phone for additional information as requested • Export and upload documents within CorroHealth proprietary system • Cross-trained on various functions within the department to support other teams as needed • Other responsibilities as requested by management

🎯 Requirements

• Must love communicating with others over the phone • Computer proficient. Must have intermediate skills with Outlook and Excel. • Must be able to schedule meetings, log onto Teams for meetings. • Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting. • Must be able to type a minimum of 25wpm • Detail oriented • Shows initiative and responsibility in taking the necessary steps towards problem resolution • Works independently, but is a team player • Able to work in a fast-paced environment • Possess good verbal and written communication skills • Required to keep all client and sensitive information confidential • Strict adherence to HIPAA/HITECH compliance • High School Diploma or equivalent required • Bachelor’s degree preferred • Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines • Prior experience of accessing hospital EMR’s and Payer Portals preferred • Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting. Must have basic skills in Outlook. • Should be able to create a meeting invitation, accept a meeting invitation, receive and respond to email and set up folders. • Must be able to type a minimum of 25 wpm with a 90% accuracy rate.

🏖️ Benefits

• Medical/Dental/Vision Insurance • Equipment provided • 401k program • PTO: 80 hours accrued annually paid holidays • Tuition reimbursement • Professional growth and more!