Coordinator, P2P Appeals

CorroHealth Inc; West Virginia; Hybrid; USD 21,000 - 30,000; Full time

Benefits offered by this job

Medical/Dental/Vision Insurance

401k matching (up to 2%)

PTO: 80 hours accrued, annually 9 paid

Tuition reimbursement

Equipment provided

Professional growth and more!

Job summary

CorroClinical, a division of CorroHealth, is a remote role within the United States focused on payer communications and case entry in a fast-paced healthcare environment.

The position emphasizes phone-based interaction with payers, documentation in proprietary systems, and teamwork. Requires high school diploma; bachelor’s preferred; call center experience is a plus.

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 accessing hospital EMR’s and Payer Portals preferred.
• Proficient in MS Word and Excel.
• Typing speed of at least 30 wpm.

Responsibilities

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

Skills

Phone communication

Verbal communication

Written communication

Detail-oriented

Multitasking

Problem solving

Team player

Fast-paced environment

Confidentiality

Education

High School Diploma or equivalent

Bachelor’s degree preferred

Tools

MS Word

MS Excel

Job description

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

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.

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. This position is REMOTE with US only.

About this position

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

Skills Required

• 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.
• You will be working to solve issues, so someone who likes to problem solve, seeks resolution and likes to take initiative will be a great fit!
• Works independently but is a team player.
• Able to work in a fast-paced environment.
• Required to keep all client and sensitive information confidential.

Education/Experience Required

• High School Diploma or equivalent required.
• Bachelor’s degree preferred.
• Call center experienced 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 you must be able to open a spreadsheet, utilize formulas such as adding, subtracting, multiplying.
• You should be able to copy in past in cells as well as create multiple worksheets within a workbook.
• Accurate keyboard skills.
• You should be able to type a minimum of 30wpm.

What we offer

• 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 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.

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. CorroHealth has acquired Xtend Healthcare! For more information, please visit https://corrohealth.com. Applicants will only receive job-related emails from the domain @corrohealth.com.