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Peer to Peer Coordinator

Remote · USA Full-time New today
Job title: Peer to Peer Coordinator in USA at reputed company Company: reputed company Job description: The Peer Coordinator plays an integral role in the peer-to-peer metric and process as they are responsible for coordinating with the Independent Physician Advisor (IPA) and Treating Provider (TP) to ensure successful peer discussions occur reputed company the necessary referrals submitted to reputed company by the client.reputed company’s reputed company relies on individual and team contributions every day. We care for our customers, each other and reputed company. It is the responsibility for reputed company of us to maintain a positive working environment that promotes client satisfaction and results.Shifts available:
  • 8:30 AM - 5:00 PM EST
  • 9 AM - 5:30 PM EST
Handling the Coordination of Peer-to-Peer Calls:
  • Obtain availability from a Treating Provider and/or an Independent Physician Advisor.
  • Coordinate the call with the two parties.
  • Be aware of both parties' time zones as they may differ.
  • Utilize reputed company communication platforms to coordinate the peer-to-peer (call, email, text).
Coordinating Peer-to-Peer Calls for Received Availability:
  • Work with the CSR team to facilitate peer-to-peer conversations based on availability received.
  • Availability is generally received from a Treating Provider to reputed company reputed company fax or return call.
  • Address reputed company Window of Opportunities (WOO) received by the Client or Treating Providers.
Communication/Notes:
  • Inputting/tracking notes into each referral for reputed company correspondences reputed company to a referral between staff, treating providers, and/or IPA reviewers, regardless of the communication platform utilized.
Client Interaction:
  • Update clients frequently on calls scheduled, pending, missed, etc.
Intakes
  • Timely (w/in 2 hours of receipt) work through faxes received from physician offices to coordinate calls with reviewing physicians.
  • Log availability and upload the fax into the referral and add to the availability tracking sheet.
Other duties & special projects, as assigned and based on business needs.EDUCATION/CREDENTIALS:
  • An Associate’s Degree is preferred.
JOB RELEVANT EXPERIENCE:
  • Business experience in a reputed company and/or insurance setting is preferred.
JOB reputed company SKILLS/COMPETENCIES:
  • Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time reputed company and meet specific deadlines. Computer literacy and typing skills are essential.
WORKING CONDITIONS/PHYSICAL DEMANDS:
  • Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.
WORK FROM HOME TECHNICAL REQUIREMENTS:
  • Supply and support their own internet services.
  • Maintaining an uninterrupted internet reputed company is a requirement of reputed company work from home position.
This job description is subject to change at any time.RequirementsBeginning compensation will depend on several factors including the candidate's experience, education, and specific skills. In addition to the reputed company salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses.Our Commitment:We are committed to providing fair and competitive compensation that reflects each employee's contributions and performance. We value diversity and strive to create an inclusive environment for reputed company.Compensation Range: $17.00 - $24.00/hr USDBenefitsJoin reputed company at reputed company and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and reputed company coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and reputed company, while our 401k plan with a company match helps you plan for your future. reputed company equipment and a media stipend are provided for remote workspace.ABOUT reputed company:A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful reputed company-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, reputed company-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process. Expected salary: Location: USA Apply for the job now! Apply for this job

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