Coordinator, Appeals Management
SC-Remote, United States
About Us:
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:
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, 8:00 AM - 5:00 PM EST
Hourly Salary: $18.27
Job Summary
- 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
Minimum Qualifications:
- 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
- …
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Remote within US only
Benefits/Perks401(k) matching Medical, Dental & Vision Insurance Professional growth PTO Tuition reimbursement
Tasks- Compile appeal bundles
- Document appeal timeframes
- Follow up with clients
- Monitor shared inboxes
- Perform denial research
- Transcribe information
Communication Data Entry EMR systems HIPAA Compliance Insurance MS Excel MS Outlook Problem Resolution
Experience0 years
EducationBachelor's degree High school diploma
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9