Coordinator, Appeals Managment

CorroHealth; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking company as a Coordinator in Appeals Management, where your role is crucial in resolving hospital claim denials. This position involves collaborating with insurance payers and internal teams to ensure timely and accurate appeal submissions. You'll be part of a dynamic team that values your professional growth and provides the tools necessary for success. Enjoy a flexible remote work environment while contributing to a mission that prioritizes client financial health. If you're detail-oriented and thrive in a fast-paced setting, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401k Matching

PTO

Paid Holidays

Tuition Reimbursement

Equipment Provided

Qualifications

• Must be proficient in Microsoft Excel and Outlook.
• Experience with medical claim denial processes preferred.

Responsibilities

• Resolve hospital claim denials and ensure timely appeal submissions.
• Compile and submit appeal bundles to insurance payers.
• Document processes and maintain compliance with healthcare regulations.

Skills

Communication Skills

Detail Oriented

Problem Resolution

Time Management

HIPAA Compliance

Education

High School Diploma

Bachelor's Degree

Tools

Microsoft Excel

Microsoft Outlook

Electronic Medical Records (EMR)

Job description

Coordinator, Appeals Managment page is loaded

Coordinator, Appeals Managment

Apply locations US - Remote time type Full time posted on Posted 8 Days Ago job requisition id JR102389

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.

Location: Remote within US Only

Required Schedule: Monday - Friday, 8:00 AM - 5:00 PM EST

Hourly Pay: $18.27 (firm)

Job Summary:

Join our team as Coordinator, Appeals Management, where you’ll play a critical role in resolving outstanding hospital claim denials and ensuring timely and accurate appeal submissions. You’ll work closely with insurance payers and internal teams to move appeals forward, document processes, and maintain compliance with healthcare regulations.

• Perform medical claim 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

Minimum Qualifications:

• 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

Education/Experience Required:

• 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.

What we offer:

Equipment provided Medical/Dental/Vision Insurance
• 401k matching (up to 2%)
• PTO: 80 hours accrued, annually
• 9 paid holidays
• Tuition reimbursement
Professional growth and more!

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.

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Coordinator, Appeals Management

locations US - Remote time type Full time posted on Posted 30+ Days Ago

CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals.

For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians.

Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands.

Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers.

Applicants will only receive job-related emails from the domain @corrohealth.com.

Additionally, it is important to emphasize that CorroHealth will never ask for money in return for a job offer.