Coordinator, P2P Appeals

Location: Remote (Within US Only)

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

Hourly Salary: $18.27 (firm)

Our Denial Management department is responsible for managing denied inpatient referrals from our partnered clients, handling a consistently high volume of cases each day. We support approximately 100 facilities, utilizing a structured workflow coordinated through a dedicated queue schedule maintained in SharePoint. Each team member is assigned specific facilities or tasks but remains cross-trained to work across multiple areas to ensure seamless coverage and operational flexibility. The department functions exclusively as an outbound call center, with all incoming communication routed to a centralized mailbox for triage and follow-up.

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 30wpm.

• 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!