Support one of the region s leading healthcare service providers by ensuring timely and accurate handling of provider appeals within the revenue cycle process. As an Appeals Representative, you will serve a critical role in verifying, interpreting, and responding to claims in alignment with CMS and payer guidelines. This position is key to maintaining compliance and provider satisfaction throughout the claims appeal lifecycle.

Revenue Cycle Specialist
Fort Worth, TX | Temp-to-Hire, Remote Eligible (post-perm)

COMPENSATION & SCHEDULE
$18.00/hour (DOE)
Monday to Friday, 8:00 AM 5:00 PM
Temp-to-Hire

KEY RESPONSIBILITIES
Analyze and respond to provider appeals based on client policy, CMS and state regulations
Draft clear, professional written communications that explain appeal outcomes
Interpret payer contracts and itemized bills to determine claim validity
Utilize internal systems and resources to accurately process cases
Complete appeal reviews within required timeframes and service level standards

MINIMUM QUALIFICATIONS
3+ years in healthcare revenue cycle (e.g., collections, denials, appeals)
2+ years as an Appeals Representative
Proficiency in Microsoft Office applications
Knowledge of inpatient and outpatient hospital billing cycles
High school diploma or equivalent (required and will be verified)

CORE TOOLS & SYSTEMS
Microsoft Excel, Outlook, and Word
Internal appeal tracking platforms
CMS guideline references
EHR and healthcare billing systems

PREFERRED SKILLS
Strong contract interpretation and medical terminology proficiency
Working knowledge of claim coding practices
Exceptional analytical thinking and problem-solving ability

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