P2P Appeals Coordinator - Athens Georgia

Company: VirtualVocations
Location: Athens, Georgia
Posted On: 01/23/2025

A company is looking for a Coordinator, P2P Appeals.



Key Responsibilities

Schedule and conduct Peer to Peer calls with payers and Medical Directors
Document information from payer calls and manage account status in multiple databases
Provide support for case entry, Peer to Peer processes, and appeals within the department



Required Qualifications

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
Prior experience with hospital EMRs and Payer Portals preferred
Proficient in MS Word and Excel, with accurate keyboard skills (minimum 30 wpm) More...

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