Responsibilities
- 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
- Other responsibilities as requested by management
Requirements
- 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, use formulas such as; adding and subtracting, copying and pasting.
- Must be able to type a minimum of 25wpm
- 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 skils in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond ot email and set up folders.
- Must be able to type a minimum of 25 wpm with a 90% accuracy rate.
Nice to Have
- Bachelor’s degree preferred
- Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines
- Prior experience of accessing hospital EMR’s and Payer Portals preferred
- Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting.
