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Job Overview
Location
PA-Remote
Job Type
Full-time
Category
Data Science
Date Posted
November 17, 2025
Full Job Description
đź“‹ Description
- • Own the critical first step in overturning payer denials by scheduling and tracking Peer-to-Peer (P2P) reviews between CorroHealth’s board-certified Medical Directors and insurance medical directors—directly impacting millions in recovered revenue for hospital clients nationwide.
- • Spend 90 % of your day on the phone acting as the primary liaison with Medicare, Medicaid, and Commercial Managed Care payers—mastering each payer’s unique protocols, escalation paths, and medical director calendars to secure timely P2P appointments.
- • Proactively monitor aging P2P requests that have exceeded scheduled timeframes, executing targeted outreach campaigns to prevent auto-denials and keep appeals within statutory limits.
- • Accurately document every payer interaction in CorroHealth’s proprietary case-management platform and simultaneously update multiple internal databases, ensuring real-time visibility for clinical, appeals, and client-success teams.
- • Provide end-to-end administrative support for the P2P & Appeals department: triage new denial cases, verify clinical documentation completeness, upload EMR excerpts to payer portals, and prepare concise briefs that arm our Medical Directors with the strongest clinical arguments.
- • Serve as the air-traffic controller for high-volume caseloads—prioritizing by dollar value, discharge date, and payer deadlines—while toggling between EMRs, payer portals, Excel trackers, and CRM screens without losing accuracy or speed.
- • Collaborate daily with remote teammates across time zones, sharing payer intel, escalation wins, and process improvements in Slack huddles and weekly KPI calls to collectively raise team performance benchmarks.
- • Champion HIPAA and HITECH compliance by safeguarding PHI, completing annual privacy training, and flagging any potential security gaps to the Compliance Officer.
- • Continuously refine your knowledge of denial reason codes (e.g., DRG downgrade, medical necessity, level-of-care) and leverage that insight to ask sharper questions during payer calls, shortening the path to P2P approval.
- • Contribute to monthly root-cause analyses by tagging trends in payer behavior—such as repetitive documentation requests or scheduling delays—and partner with Analytics to turn those insights into client-facing action plans.
- • Embrace a metrics-driven culture where your individual KPIs (call volume, scheduling success rate, average days to P2P) are transparently tracked and celebrated, with coaching provided to help you exceed targets.
- • Thrive in a fast-paced, interruption-rich environment where priorities can shift quickly—leveraging color-coded task lists, dual-monitor setups, and keyboard shortcuts to maintain flawless organization and meet tight deadlines.
- • Experience the satisfaction of knowing that every successfully scheduled P2P call can reverse a $50k–$500k denial, directly funding patient care investments and hospital expansion projects.
- • Enjoy a fully remote, Monday–Friday 10 AM–7 PM EST schedule that eliminates commutes while still offering structured collaboration hours with West-coast clinicians and East-coast payer representatives.
🎯 Requirements
- • High-school diploma or equivalent required; bachelor’s degree preferred
- • 1+ years in a high-volume call-center or healthcare revenue-cycle role
- • Demonstrated ability to type ≥30 WPM and navigate multiple software platforms simultaneously
- • Proficiency in Microsoft Excel (formulas, multi-sheet workbooks, copy-paste-special) and Word
- • Working knowledge of Medicare, Medicaid, and Commercial payer denial processes; EMR and payer-portal navigation experience strongly preferred
🏖️ Benefits
- • Guaranteed hourly rate of $18.27 with annual performance reviews
- • Comprehensive medical, dental, and vision insurance starting day one
- • 80 hours accrued PTO plus 9 paid holidays and early-close Fridays during summer
- • 401(k) with up to 2 % company match and immediate vesting
- • Company-provided laptop, dual monitors, headset, and ergonomic stipend
- • Up to $5,250 annual tuition reimbursement and paid certification courses
Skills & Technologies
Remote
Degree Required
About CorroHealth, Inc.
CorroHealth provides technology-enabled revenue cycle management and clinical documentation improvement services to hospitals and health systems. The company combines analytics, robotic process automation, and specialized coding expertise to reduce denials, improve compliance, and accelerate cash collections for providers nationwide.
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