[Hiring] Coordinator, P2P Appeals @CorroHealth

Role Description

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
• Monitoring ongoing results

This is a REMOTE position within the US only.

Title: Coordinator, P2P Appeals

Location: Remote (Within US Only)

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

Essential Functions:

• You will be on the phone approximately 90% of the day.
• 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.
• You will work independently but must also be able to collaborate and work within a team setting.
• Perform other duties as assigned.

Qualifications

• Must love communicating with others over the phone.
• Strong verbal and written communication skills.
• Detail-oriented with the ability to multi-task.
• Problem solver who seeks resolution and takes 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.

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, a plus.
• Prior experience accessing hospital EMRs and Payer Portals preferred.
• Proficient in MS Word and Excel.
• In Excel, must be able to open a spreadsheet, utilize formulas, and create multiple worksheets within a workbook.
• Accurate keyboard skills; must be able to type a minimum of 30 wpm.

Benefits

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

Physical Demands

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Members must be able to lift and move material weighing up to 20 lbs. Team Members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.