Coordinator, Appeals Management jobs in United States
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CorroHealth · 21 hours ago

Coordinator, Appeals Management

CorroHealth is dedicated to helping clients achieve their financial health goals through innovative solutions and clinical expertise. The Coordinator, Appeals Management will be responsible for performing denial research, compiling appeal bundles, and ensuring timely follow-up with insurance companies to resolve outstanding appeals.

AnalyticsFinanceFinancial ServicesFinTechHealth Care

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

Qualification

Denials processesProficient in MS ExcelProficient in MS WordComputer proficientTyping speed 25 wpmVerbal communicationWritten communicationDetail orientedTeam playerInitiativeResponsibilityWork independentlyWork in fast-paced environmentConfidentiality adherence

Required

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 be able to type a minimum of 25 wpm with a 90% accuracy rate

Preferred

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
Must have basic skills in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond to email and set up folders

Benefits

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!

Company

CorroHealth

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CorroHealth is a provider of revenue cycle management solutions for healthcare organizations, including health systems, and health plans.

Funding

Current Stage
Late Stage
Total Funding
$376.27M
Key Investors
Patient Square Capital
2024-10-24Private Equity
2023-10-05Private Equity· $50M
2022-05-17Series Unknown· $16.6M

Leadership Team

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Patrick Leonard
Chief Executive Officer
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Becky Blake
Chief People Officer
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Company data provided by crunchbase