CorroHealth Benefits Overview

Investigate and resolve unpaid or denied medical claims by reviewing UB04s, EOBs and medical records; use proprietary software, EMR portals, phone and written correspondence to obtain claim resolution while meeting production and quality targets and complying with HIPAA.

Provides remote facility observation coding using CPT, HCPCS, ICD-10-CM, and ICD-10-PCS, with specialized experience in infusions and injections. Applies coding guidelines, assigns diagnoses and procedures accurately, evaluates documentation, protects patient health information, and maintains required productivity, quality, and accuracy standards. Requires AAPC or AHIMA certification, facility coding experience, EMR and billing-system familiarity, and proficiency with Microsoft Office.

Manage healthcare authorization processes from initial notification through determination and discharge. Responsibilities include verifying eligibility and benefits, documenting records in EMR and payer systems, coordinating with hospital staff and payers, tracking pending authorizations, resolving processing barriers, escalating potential delays or denials, and maintaining HIPAA compliance. The role requires healthcare or authorization experience, medical terminology knowledge, insurance-process expertise, strong organization, and proficiency with EMR, payer portals, and Microsoft Office.