Peer to Peer Appeals Coordinator

Job Summary

A company is looking for a Coordinator, P2P Appeals.

Key Responsibilities

• Schedule Peer to Peer calls with medical directors and follow up on past scheduled cases
• Document information from payer calls and enter account status into multiple databases
• Support various departmental functions such as case entry, Peer to Peer, and appeals support

Required Qualifications, Training, and Education

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