P2P Appeals Coordinator

Company: VirtualVocations
Location: New Orleans
Posted on: October 29, 2024

Job Description:

A company is looking for a Coordinator, P2P Appeals to assist in managing peer-to-peer appeals processes.

Key Responsibilities:

Schedule and manage peer-to-peer calls with medical directors and payers
Document information from payer calls in the proprietary system and update account statuses in multiple databases
Support various departmental functions including case entry and appeals support

Required Qualifications and Education:

High School Diploma or equivalent required; Bachelor's degree preferred
Preferred experience in a call center environment
Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care is a plus
Prior experience accessing hospital EMRs and Payer Portals preferred
Proficient in MS Word and Excel, with the ability to perform basic functions in Excel

Keywords: VirtualVocations, New Orleans , P2P Appeals Coordinator, Other , New Orleans, Louisiana

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