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CorroHealth logo
CorroHealth

Clinically Led Healthcare Analytics Intelligent Technology to Improve your Financial Health

Coordinator, Utilization Management

AdministrationAdministrationFull TimeRemoteMid LevelTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

73 days ago

Salary

$19 - $20 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Coordinator, Utilization Management

CorroHealth

Role Description CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting, and technology that can change over time to meet any client’s evolving needs. - Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination. - Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner. - Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system. - Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy. - Monitor and complete tasks within shared inboxes and internal request dashboards. - Receive and document incoming emails, calls, tickets, or voicemails. - Follow up with the client or internal staff via email or phone for additional information as requested. - Export and upload documents within CorroHealth proprietary system. - Cross-trained on various functions within the department to support other teams as needed. - Other responsibilities as requested by management. Qualifications - Must love communicating with others over the phone. - Computer proficient. Must have intermediate skills with Outlook and Excel. - Must be able to schedule meetings, log onto Teams for meetings. - Must be able to open a new Excel workbook, use formulas such as adding and subtracting, copying and pasting. - Must be able to type a minimum of 25 wpm. - Detail oriented. - Shows initiative and responsibility in taking the necessary steps towards problem resolution. - Works independently, but is a team player. - Able to work in a fast-paced environment. - Possess good verbal and written communication skills. - Required to keep all client and sensitive information confidential. - Strict adherence to HIPAA/HITECH compliance. Requirements - High School Diploma or equivalent required. - Bachelor’s degree preferred. - Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines. - Prior experience of accessing hospital EMRs and Payer Portals preferred. - Proficient in MS Word and Excel. Needs to be able to open a new Excel workbook, copy and paste, do basic formulas such as adding, subtracting, and copying and pasting. - Must have basic skills in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond to email, and set up folders. - Must be able to type a minimum of 25 wpm with a 90% accuracy rate. Physical Demands Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Members must be able to lift and move material weighing up to 20 lbs. Team Members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

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