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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 strong verbal and written communication skills, with the ability to articulate needs to payors and document information accurately. Proficient in multitasking across multiple screens and programs while adhering to HIPAA/HITECH compliance.
Highest-signal resume keywords
Strong Verbal Communication SkillsDetail-OrientedCall Center ExperienceProficient in MS ExcelUnderstanding of Denials Processes
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Documenting InformationData EntryTyping Speed of 30 WPMUsing Excel FormulasAccessing Hospital EMRs
Soft Skills
Problem-Solving SkillsAbility to Work IndependentlyTeam CollaborationInitiativeMultitasking
Tools & Technologies
CorroHealth Proprietary SystemMS WordMS Excel
Industry Keywords
HIPAA ComplianceHITECH ComplianceMedicareMedicaidCommercial/Managed Care
About the role
Key responsibilities & impact- Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors
- Call payers on cases past the Peer to Peer scheduled time frame
- Document information from payer calls 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
- Perform other duties as assigned
- Spend approximately 90% of the day on the phone
Requirements
What you’ll need- This is a remote position within the US only
- Required Schedule: Monday - Friday, 11:00 AM - 8:00 PM EST
- Must love communicating with others over the phone
- Strong verbal and written communication skills
- Ability to articulate to payors what is needed and quickly document relevant information
- Detail-oriented and able to multitask across multiple screens and programs
- Problem-solving skills, resolution-focused, and initiative
- Ability to work independently and within a team setting
- Able to work in a fast-paced environment
- Required to keep all client and sensitive information confidential
- Strict adherence to HIPAA/HITECH compliance
- 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 including adding, subtracting, and multiplying
- Able to copy and paste in cells and create multiple worksheets within a workbook
- Accurate keyboard skills; minimum typing speed of 30 wpm
- Ability to perform computer-based work for 6-8 hours a day
- Ability to sit for prolonged periods
- Infrequent ability to lift and move materials weighing up to 20 lbs.
Benefits
Comp & perks- 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!
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions