P2P Appeals Coordinator

Job Summary

A company is looking for a Coordinator, P2P Appeals.

Key Responsibilities

• Make phone calls to schedule Peer to Peer discussions with medical directors and follow up on overdue cases
• Document information from payer calls in the proprietary system and update account status in multiple databases
• Provide support for case entry, Peer to Peer, and appeals processes while collaborating with the team

Required Qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred
• Call center experience preferred
• Understanding of denial 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)