Appeals Coordinator – Peer to Peer – 11am-8pm

Position Type: Full Time

Office Location: Newtown Square, Pa

Versalus Health is an innovative, rapidly growing physician led organization that helps hospitals manage their compliance and performance needs nationwide. The company has a vibrant culture that strives to promote a positive work/life balance while allowing professionals to utilize their skills in an environment that positively impacts healthcare.

Job Description and Responsibility:

  • Validate and schedule Peer to Peer requests
  • Must feel comfortable extracting data through multiple systems
  • Interact with hospital clients and payers over the phone and electronically
  • Monitor the physicians Peer to Peer queue to confirm reviews are done in a timely manner
  • Follow up with payers on cases that are past Peer to Peer scheduled time frame
  • Cross trained on various functions within the department such as case entry support, Peer to Peer support, and appeals support
  • Other responsibilities as requested by management

Skills:

  • Attention to Detail
  • Thoroughness
  • Ability to work in a fast-paced environment
  • Works Independently but also a Team Player
  • Extremely organized and action oriented
  • Confidentiality
  • Strict adherence to HIPAA/HITECH compliance

Education & Experience:

  • High School Diploma or equivalent required
  • Bachelor’s degree preferred
  • Prior experience of accessing hospital EMRs and Payer Portals preferred
  • Proficient in MS Word and Excel
  • Accurate keyboard skills

Physical Requirements:

May be expected to sit at a desk for long hours.  Repetitive movement of hands and fingers – typing and/or writing. Occasional standing, walking, stooping, kneeling or crouching. Ability to reach with hands and arms, talk and hear. Exert up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Versalus Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law.

Apply for this Position
  • This field is for validation purposes and should be left unchanged.

« back to all job opportunities