CorroHealth is looking for a Coordinator, Appeals Management to join our team. In this role, you will perform denial research and follow-up with insurance companies via phone to resolve outstanding appeals, compile and submit appeal bundles, document processes, and transcribe information from client systems while ensuring accuracy and timeliness. We build long-term careers by investing in you and creating an environment that cultivates your professional development and personal growth.
What You'll Do
- Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination.
- Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner.
- Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system.
- Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy.
- Monitor and complete tasks within shared inboxes and internal request dashboards.
- Receive and document incoming emails, calls, tickets, or voicemails.
- Follow up with the client or internal staff via email or phone for additional information as requested.
- Export and upload documents within CorroHealth proprietary system.
- Cross-trained on various functions within the department to support other teams as needed.
What We're Looking For
- Must love communicating with others over the phone.
- Computer proficient. Must have intermediate skills with Outlook and Excel.
- Must be able to schedule meetings, log onto Teams for meetings.
- Must be able to open a new excel workbook and use formulas such as adding and subtracting, copying and pasting.
- Must be able to type a minimum of 25wpm with a 90% accuracy rate.
- Detail oriented.
- Shows initiative and responsibility in taking the necessary steps towards problem resolution.
- Works independently, but is a team player.
- Able to work in a fast-paced environment.
- Possess good verbal and written communication skills.
- Required to keep all client and sensitive information confidential.
- Strict adherence to HIPAA/HITECH compliance.
- High School Diploma or equivalent required.
- Must have basic skills in Outlook, including creating a meeting invitation, accepting a meeting invitation, receiving and responding to email, and setting up folders.
Nice to Have
- Bachelor’s degree preferred.
- Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines.
- Prior experience accessing hospital EMRs and Payer Portals preferred.
- Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, and do basic formulas such as adding and subtracting.
Technical Stack
- CorroHealth proprietary system
- Outlook
- Excel
- Teams
- MS Word
Work Mode
This is a remote position open to candidates located in the US only.
