Appeals & Denials Support Specialist (IC)

CorroHealth; United States; Remote; USD 31,000 - 54,000; Full time

Job summary

CorroHealth is seeking an Appeals & Denials Support Specialist to work remotely, focusing on performing medical claim denial research with insurance companies. This role demands excellent communication skills, attention to detail, and commitment to at least 20 hours per week. Candidates will receive training and must be available for the designated training schedule. This position offers flexible hours post-training, allowing for a balanced work-life approach.

Benefits

Remote work equipment provided

Qualifications

• High School Diploma or equivalent required.
• Must have intermediate skills with Outlook and Excel.
• Detail oriented with good verbal and written communication skills.

Responsibilities

• Perform denial research and follow-up with insurance companies via payer portals.
• Compile documents into appeal bundles and submit to payers.
• Monitor and complete tasks within shared inboxes and internal dashboards.

Skills

Detail oriented

Verbal communication

Written communication

Initiative

Problem resolution

Education

High School Diploma or equivalent

Tools

Outlook

Excel

Job description

Appeals & Denials Support Specialist (IC)

Appeals & Denials Support Specialist (IC)

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.

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.

Job Summary

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

IMMEDIATE interviews for ideal candidates who can start mid-July!

Location: Remote (within US only) equipment provided

Job Overview

This is a REMOTE, independent contractor (IC) position performing medical claim denial research follow-up work with insurance companies via payer portals (NO PHONES) to resolve appeals that have been submitted but remain without determination.

You MUST commit to at least 20 hours per week (after training) but can work as many hours as you like!

Schedule is flexible AFTER Training which requires you to be available for 5 consecutive business days (8 hours a day from 8:00 - 5:00 PM EST. You will also be required to do self-paced compliance training that should take 3-4 hours.

You MUST be available to attend training on one of the following days (no exceptions):

Monday, July 14, - Friday July 18, (8:00 AM - 5:00 PM EST)

Wednesday, July 16 - July 22, (excluding weekend) (8:00 AM - 5:00 PM EST)

Monday, July 21, - July 25, (8:00 AM - 5:00 PM EST)

Hourly Pay: $20.00 during training and then you will be paid $4.00 per account - time spent updating each account should only take 5 minutes! The more accounts you touch the more you make!

Job Summary

• Perform denial research and follow-up work with insurance companies via payer portal or 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
  
  

Minimum Qualifications

• High School Diploma or equivalent
• 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
  
  

Physical Demands

Note: 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.

A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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