CorroHealth

Manager

• The Manager of Clinician Appeals is a clinical leader responsible for the strategic oversight and operational execution of the appeals letter writing and client education engagement.
• Lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers.
• Ensure operational excellence, clinical integrity, and alignment with financial goals.
• Work closely with internal leadership, administrative operations, and external clients to ensure best-in-class service delivery in a dynamic revenue cycle environment.
• Analyze denial types, identify root causes, and deliver actionable feedback that helps prevent future denials.
• Manage and develop both domestic and global clinicians who write appeal letters.
• Oversee hiring, onboarding, training, and performance management of clinical writers.
• Define and implement the team’s leadership structure and workflows.
• Enforce quality and productivity standards; take corrective action as needed to maintain high performance.

Manager, Clinician Appeals

Auditor

• Create and update audit plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify within the data
• Model and create/update pricing documents based on hospital contracts to calculate expected payments with contract language such as percentage of charge, per diems, MSDRG, outlier and/or stoploss, implants, drugs
• Review insurance payments, research applicable sources (contracts, state and federal legislation, insurance payer policies, medical records, etc.) to determine if payment is correct and make recommendations on appropriate next steps
• Identify contractual and clinical risk areas from commercial and government payors (e.g., Medicare, Medicaid)
• Conduct review of zero-balance hospital accounts to identify underpaid inpatient claims
• Present clear documentation of process, findings, and results of audits
• Make recommendations to improve internal processes and external client contracts/processes
• Work with data analyst team to build and validate pricing models
• Other duties as assigned

Auditor, Zero Balance

Sales

• Oversee revenue cycle operations
• Enhance efficiency through automation
• Collaborate with expert teams
• Ensure compliance with financial goals

Manager, Clinician Appeals

Auditor, Zero Balance

Senior Regional VP, Sales