Coordinator, P2P Appeals

About Us

CorroHealth's 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.

About This Position: Coordinator, P2P Appeals

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 Functions

• Spend approximately 90% of the day on the phone.
• Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors.
• Call payers on cases that are past the scheduled Peer to Peer timeframe.
• Document information from payer calls in CorroHealth's proprietary system.
• Enter account status into multiple databases.
• Support various departmental functions including case entry, Peer to Peer support, and appeals support.
• Work independently while also collaborating effectively within a team setting.
• Perform other duties as assigned.

Skills Required

• A passion for communicating with others over the phone.
• Strong verbal and written communication skills to articulate needs to payers and document relevant information quickly.
• Detail-oriented with the ability to multi-task across multiple screens and programs, maintaining organization.
• Problem-solving mindset, seeking resolution and demonstrating initiative.
• Ability to work independently as a team player in a fast-paced environment.
• Strict adherence to HIPAA/HITECH compliance, ensuring confidentiality of client and sensitive information.

Education/Experience Required

• 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, including ability to open spreadsheets, utilize basic formulas (add, subtract, multiply), copy/paste cells, and create multiple worksheets within a workbook.
• Accurate keyboard skills with a minimum typing speed of 30 wpm.

What We Offer

• Hourly salary: $18.27 (firm)
• Medical/Dental/Vision Insurance
• Equipment provided
• 401k matching (up to 2%)
• PTO: 80 hours accrued, annually
• 9 paid holidays
• Tuition reimbursement
• Professional growth opportunities

Physical Demands

Regular eye-hand coordination and manual dexterity are 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. 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.

Key Skills/Competency

• P2P Appeals
• Payer Communication
• Medical Denials
• Healthcare Operations
• Data Entry
• Customer Service
• HIPAA Compliance
• Problem Solving
• Microsoft Excel
• Documentation