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Appeals Coordinator – Peer to Peer
CorroHealthAppeals Coordinator scheduling peer-to-peer reviews and documenting payer information for CorroHealth, a healthcare revenue-cycle services company. Supporting case entry, appeals operations, and account-status tracking remotely across the United States.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in call center operations, including scheduling and documenting payer interactions, while adhering to HIPAA/HITECH compliance. Exhibits strong communication skills and the ability to multitask effectively in a fast-paced environment.
Highest-signal resume keywords
Call Center ExperienceUnderstanding of Denials ProcessesProficient in MS Word and ExcelStrong Verbal and Written Communication SkillsHIPAA/HITECH Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Typing Speed of 30 WPMExcel FormulasData EntryDocumenting InformationAccount Status Entry
Soft Skills
Detail-OrientedProblem SolvingInitiativeTeam PlayerMultitasking
Tools & Technologies
CorroHealth Proprietary SystemHospital EMRsPayer Portals
Industry Keywords
MedicareMedicaidCommercial/Managed CareClient Confidentiality
About the role
Key responsibilities & impact- Call payers to schedule Peer to Peer calls with CorroHealth Medical Directors
- Call payers on cases that are past the Peer to Peer scheduled time frame
- Document information from payer calls in CorroHealth's proprietary system
- Enter account status into multiple databases
- Support case entry, Peer to Peer, and appeals functions within the department
- Work independently while collaborating within a team setting
- Perform other duties as assigned
- Spend approximately 90% of the day on the phone
Requirements
What you’ll need- 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 product lines is a plus
- Prior experience accessing hospital EMRs and payer portals preferred
- Proficient in MS Word and Excel
- Able to use Excel formulas including addition, subtraction, and multiplication
- Able to copy and paste in cells and create multiple worksheets within a workbook
- Accurate keyboard skills
- Minimum typing speed of 30 WPM
- Strong verbal and written communication skills
- Detail-oriented and able to multitask across multiple screens and programs
- Able to problem solve, seek resolution, and take initiative
- Able to work independently and as a team player
- Able to work in a fast-paced environment
- Must keep client and sensitive information confidential
- Strict adherence to HIPAA/HITECH compliance
- Must be able to work Monday–Friday, 10:00 AM–7:00 PM EST
- Must be able to work at a computer terminal for 6–8 hours per day
- Infrequently, able to lift and move material weighing up to 20 lbs.
Benefits
Comp & perks- Competitive hourly salary
- 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!