Talent.com
No longer accepting applications
Coordinator, P2P Appeals Mgt.

Coordinator, P2P Appeals Mgt.

CorroHealthMilwaukee, WI, US
3 days ago
Job type
  • Full-time
Job description

Corro Clinical Remote Position

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.

About this position :

Location : Remote (Within US Only)

Required Schedule : Monday - Friday, 11 : 00 AM - 8 : 00 PM EST

Hourly Salary : $18.27 (firm)

Essential Functions :

  • You will be on the phone approximately 60% 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.
  • Strict adherence to HIPAA / HITECH compliance
  • 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 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 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.

    Create a job alert for this search

    Coordinator • Milwaukee, WI, US

    Related jobs
    Pediatric Treatment Coordinator

    Pediatric Treatment Coordinator

    The Fun Kids DentistBrookfield, Wisconsin, United States
    Full-time
    Quick Apply
    Greetings from The Fun Kids Dentist Pediatric and Orthodontic Dental Office! We are excited to welcome new team members into our office. Here at The Fun Kids Dentist, our number one priority i...Show moreLast updated: 30+ days ago
    • Promoted
    Mailroom Coordinator II

    Mailroom Coordinator II

    Canon U.S.A., Inc.Milwaukee, WI, United States
    Full-time
    Position Type (Portal Searching).Under general supervision, is responsible for all mail, packages and interoffice correspondence handling and dispatching for all classes of mail / packages.Responsibl...Show moreLast updated: 29 days ago
    • Promoted
    Intake Coordinator - Part-Time / PRN

    Intake Coordinator - Part-Time / PRN

    Universal Health Services, Inc.West Allis, WI, United States
    Part-time
    Granite Hills Hospital offers high-quality, patient centered care for the greater Milwaukee community.With a wide range of treatment for children, adolescents, adults and older adults, our mission ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Senior Mailroom Coordinator

    Senior Mailroom Coordinator

    Uline, Inc.Pleasant Prairie, WI, United States
    Full-time
    Uline Drive, Pleasant Prairie, WI 53158.Uline's Facilities team keeps things running smoothly! Join us as a Senior Mailroom Coordinator to ensure mail is sorted and delivered efficiently at our cor...Show moreLast updated: 22 hours ago
    • Promoted
    • New!
    Account Coordinator

    Account Coordinator

    HellerMilwaukee, WI, US
    Full-time
    The Account Coordinator role focuses on coordinating information to support our agency client services team members during various stages of multiple projects. The role requires developing core skil...Show moreLast updated: 11 hours ago
    • Promoted
    • New!
    Healthcare Bilingual Care Coordinator (53119)

    Healthcare Bilingual Care Coordinator (53119)

    Lutheran Social Services of WI & Upper MIEagle, WI, US
    Full-time
    Now Hiring : Bilingual Care Coordinator – Children's Long-Term Support (CLTS) Program.Full-Time | M–F, First Shift | Remote Flexibility. Spanish Bilingual + ?? $2,000 Sign-On Bonus!.Lutheran Social S...Show moreLast updated: 13 hours ago
    • Promoted
    Post Approval Coordinator

    Post Approval Coordinator

    Minnesota JobsMilwaukee, WI, US
    Permanent +1
    Genesis10 is seeking a Post Approval Coordinator for a 12-month contract position with a client located in Milwaukee, WI. Summary : The Post Approval Coordinator is responsible for obtaining complete...Show moreLast updated: 29 days ago
    • Promoted
    MDS Coordinator (E)

    MDS Coordinator (E)

    Lifespace CommunitiesGrafton, WI, United States
    Full-time
    Create meaningful, personalized experiences.At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team membe...Show moreLast updated: 28 days ago
    • Promoted
    • New!
    Healthcare Bilingual Care Coordinator (53185)

    Healthcare Bilingual Care Coordinator (53185)

    Lutheran Social Services of WI & Upper MIWaterford, WI, US
    Full-time
    Now Hiring : Bilingual Care Coordinator – Children's Long-Term Support (CLTS) Program.Full-Time | M–F, First Shift | Remote Flexibility. Spanish Bilingual + ?? $2,000 Sign-On Bonus!.Lutheran Social S...Show moreLast updated: 13 hours ago
    • Promoted
    RN MDS Coordinator

    RN MDS Coordinator

    Franciscan VillaSouth Milwaukee, WI, US
    Full-time
    Franciscan Villa – South Milwaukee, WI.Franciscan Villa is looking for a skilled RN MDS Coordinator to join our team.We offer competitive pay, excellent benefits, and staff amenities like on-...Show moreLast updated: 30+ days ago
    • Promoted
    Early College Opportunities Coordinator

    Early College Opportunities Coordinator

    Waukesha County Technical CollegePewaukee, WI, United States
    Full-time +1
    The Early College Opportunities (ECO) Coordinator is responsible for the initial outreach.College post high school graduation. Also, will be the lead resource for private school and home school stud...Show moreLast updated: 15 days ago
    • Promoted
    Project Coordinator

    Project Coordinator

    CC&NBrookfield, WI, US
    Full-time
    The Project Coordinator will have responsibility for supporting Project Managers through the execution of project tasks and deliverables, as well as well as independently managing elements of small...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Healthcare Bilingual Care Coordinator (53072)

    Healthcare Bilingual Care Coordinator (53072)

    Lutheran Social Services of WI & Upper MIPewaukee, WI, US
    Full-time
    Now Hiring : Bilingual Care Coordinator – Children's Long-Term Support (CLTS) Program.Full-Time | M–F, First Shift | Remote Flexibility. Spanish Bilingual + ?? $2,000 Sign-On Bonus!.Lutheran Social S...Show moreLast updated: 13 hours ago
    • Promoted
    APP Inpatient 1

    APP Inpatient 1

    Medical College of WisconsinMilwaukee, WI, United States
    Full-time +1
    Medical College of Wisconsin's.Department of Obstetrics & Gynecology, General OBGYN.MCW / FMLH / CHW policies and procedures. General OBGYN services with an outpatient setting located in.Milwaukee, WI a...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Healthcare Bilingual Care Coordinator (53029)

    Healthcare Bilingual Care Coordinator (53029)

    Lutheran Social Services of WI & Upper MIHartland, WI, US
    Full-time
    Now Hiring : Bilingual Care Coordinator – Children's Long-Term Support (CLTS) Program.Full-Time | M–F, First Shift | Remote Flexibility. Spanish Bilingual + ?? $2,000 Sign-On Bonus!.Lutheran Social S...Show moreLast updated: 13 hours ago
    • Promoted
    • New!
    Healthcare Bilingual Care Coordinator (53183)

    Healthcare Bilingual Care Coordinator (53183)

    Lutheran Social Services of WI & Upper MIWales, WI, US
    Full-time
    Now Hiring : Bilingual Care Coordinator – Children's Long-Term Support (CLTS) Program.Full-Time | M–F, First Shift | Remote Flexibility. Spanish Bilingual + ?? $2,000 Sign-On Bonus!.Lutheran Social S...Show moreLast updated: 13 hours ago
    • Promoted
    • New!
    Healthcare Bilingual Care Coordinator (53153)

    Healthcare Bilingual Care Coordinator (53153)

    Lutheran Social Services of WI & Upper MINorth Prairie, WI, US
    Full-time
    Now Hiring : Bilingual Care Coordinator – Children's Long-Term Support (CLTS) Program.Full-Time | M–F, First Shift | Remote Flexibility. Spanish Bilingual + ?? $2,000 Sign-On Bonus!.Lutheran Social S...Show moreLast updated: 13 hours ago
    • Promoted
    Coordinator Awards and Recognition - US Based Remote

    Coordinator Awards and Recognition - US Based Remote

    Wisconsin StaffingMilwaukee, WI, US
    Remote
    Full-time
    Responsibilities include but are not limited to : .Support the execution of awards and recognition programs across the enterprise. Maintain tracking systems and databases to ensure data accuracy and t...Show moreLast updated: 2 days ago