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P2P Appeals Coordinator
CorroHealth. Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in call center operations, including scheduling and documenting payer interactions while adhering to HIPAA/HITECH compliance. Exhibits strong communication skills and the ability to multitask effectively in a fast-paced environment.
Highest-signal resume keywords
Call Center ExperienceUnderstanding of Denials ProcessesProficient in MS Word and ExcelAccurate Keyboard SkillsHIPAA/HITECH Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Call SchedulingDocumenting InformationData EntryExcel FormulasTyping Speed of 30 WPM
Soft Skills
Strong Verbal CommunicationDetail-OrientedProblem-SolvingInitiativeTeam Collaboration
Tools & Technologies
CorroHealth Proprietary SystemHospital EMRsPayer Portals
Industry Keywords
MedicareMedicaidCommercial/Managed CareClient Confidentiality
About the role
Key responsibilities & impact- Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors
- Call payers regarding cases past the Peer to Peer scheduled time frame
- Document payer call information in CorroHealth’s proprietary system
- Enter account status into multiple databases
- Support case entry, Peer to Peer, and appeals functions within the department
- Work independently while collaborating within a team setting
- Spend approximately 90% of the day on the phone
- Perform other duties as assigned
Requirements
What you’ll need- 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 is a plus
- Prior experience accessing hospital EMRs and payer portals preferred
- Proficient in MS Word and Excel
- Able to use Excel formulas such as adding, subtracting, and multiplying
- Able to copy and paste in cells and create multiple worksheets within a workbook
- Accurate keyboard skills with a minimum typing speed of 30 wpm
- Strong verbal and written communication skills
- Detail-oriented and able to multitask across multiple screens and programs
- Problem-solving and initiative
- Able to work independently and as part of a team
- Able to work in a fast-paced environment
- Required to keep client and sensitive information confidential
- Strict adherence to HIPAA/HITECH compliance
- Must be able to work Monday–Friday, 11:00 AM–8:00 PM EST
- Must reside within the United States
Benefits
Comp & perks- Medical/Dental/Vision Insurance
- Equipment provided
- 401k matching program
- PTO: 80 hours accrued, annually
- 9 paid holidays
- Tuition reimbursement
- Professional growth and more
- Competitive hourly salary