We are seeking a detail-oriented and compassionate Appeals Coordinator to join an excellent Healthcare Company in Fort Worth, TX! In this role, you will be responsible for reviewing and processing appeals and grievances from patients and providers, ensuring that all cases are resolved promptly and in accordance with regulatory guidelines. The ideal candidate will have a strong background in healthcare administration or insurance, excellent analytical skills, and a passion for helping others.

JOB ID - 147304

Job Title: Appeals Representative

TEMP TO HIRE

Pay: $16/hr - Depending on Experience

Location: Southwest Fort Worth, TX (Clearfork)

• Will move remote once permanent

Hours: Monday - Friday, 8AM - 5PM

JOB SUMMARY: Responsible for accurately setting up appeals for processing within 24 hours of receipt from various systems and correspondence sources (fax/email/mail). Corresponds with appeal submitters when adequate contact information is not provided upon submission.

DUTIES AND RESPONSIBILITIES:

Ensure documentation received is eligible for appeal

Plan/organize appeals to be entered into the system by department protocol

Enter appeal/claim information proficiently and accurately into appeals system

Attach all appropriate documentation for appeal to the correct case and folder location(s)

Communicate any special handling of each appeal appropriately

Maintains production standards, production requirements, and error rates

Provide support for other co-workers

Complies / maintains HIPAA in all communications and setup functions

Additional duties as assigned

QUALIFICATIONS:

High school diploma or equivalent

1 minute typing with 40 words per minute

Proficient in Microsoft Office suite, mainly Outlook, Excel, WORD

Highly detail oriented with a high rate of accuracy

Ability to perform paperless entry with 3 monitors

Ability to independently use problem solving logics

Exceptional organizational, planning and time management skills

The ability to work independently in a fast paced/production environment

Effectively communicate with others

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