P2P Appeals Coordinator

Job Summary

A company is looking for a Coordinator, P2P Appeals.

Key Responsibilities

• Schedule and conduct Peer to Peer calls with payers and Medical Directors
• Document information from payer calls and manage account status in multiple databases
• Provide support for case entry, Peer to Peer processes, and appeals within the department

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
• Prior experience with hospital EMRs and Payer Portals preferred
• Proficient in MS Word and Excel, with accurate keyboard skills (minimum 30 wpm)