Appeals Coordinator: Peer to Peer

About Us

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

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, and monitoring ongoing results. The company has a vibrant culture that strives to promote a positive work-life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.

Responsibilities

• 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 call 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.
• Work independently but must also be able to collaborate and work within a team setting.
• Perform other duties as assigned.

Requirements

• Must love communicating with others over the phone.
• Strong verbal and written communication skills. Will need to articulate to payors what is needed and be able to quickly document any relevant information that is obtained.
• Detail-oriented. This position requires the ability to multi-task, work on multiple screens and programs at a time, so must be able to toggle back and forth and keep everything organized.
• Problem-solving skills; seeks resolution and likes to take initiative.
• Works independently but is a team player.
• Able to work in a fast-paced environment.
• Strict adherence to HIPAA/HITECH compliance; required to keep all client and sensitive information confidential.

Qualifications

• 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 of accessing hospital EMR’s and Payer Portals preferred.
• Proficient in MS Word and Excel. In Excel, must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying, copy and paste in cells, as well as create multiple worksheets within a workbook.
• Accurate keyboard skills; ability to type a minimum of 30 wpm.

Schedule

Monday - Friday, 10:00 AM - 7:00 PM EST

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 opportunities

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 Member must be able to lift and move material weighing up to 20 lbs.
• Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

This is a REMOTE position within the US only.