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Appeals Representative

Fort Worth, TX 76109

Posted: 03/17/2023 Employment Type: DirectHire Specialties: Healthcare Job Number: 137999 Pay Rate: $37440.00/year

Job Description

CornerStone Staffing is seeking an Appeals Representative t hat has hospital revenue cycle experience!

We are currently seeking candidates to work for an excellent Healthcare company in Fort Worth!

JOB ID - 137999

Job Title: Appeals Representative

DIRECT HIRE!!!

Pay: $17 - $18/hr


Location:
Will train on site in Fort Worth, TX for 1-2 weeks and then will be remote. MUST LIVE IN THE DALLAS/FORT WORTH AREA TO APPLY.

Hours: Monday - Friday, 8AM - 5PM

Job Description:

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication.

  • Ability to appropriately interpret provider appeals and apply analytical thinking skills.

  • Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill.

  • Utilize applicable tools and resources to complete appeals.

  • Timely completion of appeals.

  • Additional duties as assigned.

KNOWLEDGE & SKILLS:

  • Prior knowledge of inpatient and outpatient hospital revenue cycle required.

  • Excellent written and verbal communication skills.

  • Contract interpretation, medical terminology and coding knowledge.

  • Proficiency with Microsoft applications.

EDUCATION/EXPERIENCE:

  • High school diploma or equivalent

  • 3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)

  • 2+ years working with customers in a fast-paced, deadline-oriented environment

  • 2+ years experience as an Appeals Representative.

  • Strong attention to detail, organizational and time management skills with the ability to interpret, research and identify core issues

  • Strong customer focus, analytical and decision making skills

  • Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home

To Apply for this Job:

Click the Apply Online button, then:

  • If you are currently registered with CornerStone Staffing, click the Log In button to add yourself as a candidate to this job.

  • If you are NOT currently registered with CornerStone Staffing, click the Create Account button to complete the application.

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