P2P Appeals Coordinator

Job Summary

Working remotely, the full-time P2P Appeals Coordinator will manage payer communications, schedule Peer to Peer calls, and document information in proprietary systems while supporting various departmental functions.

Key responsibilities

• Engage in phone communications approximately 90% of the day to schedule Peer to Peer calls with Medical Directors
• Document information from payer calls and enter account status into multiple databases
• Provide support for case entry, Peer to Peer, and appeals functions within the department

Required qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred
• Preferred experience in a call center environment and understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care
• Prior experience accessing hospital EMRs and Payer Portals is a plus
• Proficiency in MS Word and Excel, including basic formula usage and keyboard skills of at least 30 wpm
• Ability to work independently while being a collaborative team player in a fast-paced environment