P2P Appeals Coordinator

Job Summary

A company is looking for a Coordinator, P2P Appeals.

Key Responsibilities

• Manage denied inpatient referrals and handle a high volume of cases daily
• Schedule and document Peer to Peer calls with payers and CorroHealth Medical Directors
• Support various departmental functions, including case entry and appeals support

Required Qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred
• Call center experience preferred
• Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care is a plus
• Proficient in MS Word and Excel, with accurate keyboard skills (minimum 30 wpm)
• Prior experience accessing hospital EMRs and Payer Portals preferred