Peer to Peer Appeals Coordinator

A company is looking for a Coordinator, P2P Appeals to manage payer communications and support various departmental functions. Key Responsibilities Schedule and conduct Peer to Peer calls with medical directors and manage follow-ups on pending cases Document information from payer calls and update account statuses in multiple databases Provide support for case entry, Peer to Peer processes, and appeals as needed 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 product lines is a plus Prior experience with hospital EMRs and Payer Portals preferred Proficiency in MS Word and Excel, with accurate keyboard skills (minimum 30 wpm)

Mar 26, 2025 - 19:37

A company is looking for a Coordinator, P2P Appeals to manage payer communications and support various departmental functions. Key Responsibilities Schedule and conduct Peer to Peer calls with medical directors and manage follow-ups on pending cases Document information from payer calls and update account statuses in multiple databases Provide support for case entry, Peer to Peer processes, and appeals as needed 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 product lines is a plus Prior experience with hospital EMRs and Payer Portals preferred Proficiency in MS Word and Excel, with accurate keyboard skills (minimum 30 wpm)