Appeals Representative

Company: Cornerstone Staffing
Location: Fort Worth
Posted on: April 11, 2025

Job Description:

Job Description: 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.

Candidates should take the time to read all the elements of this job advert carefully Please make your application promptly.





JOB ID - 149603



Job Title: Appeals Representative



TEMP TO HIRE



Pay: $16/hr-$17/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:

Must have medical experience
Appeals experience highly preferred
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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Minimum Education Required: High School Years of Experience Required: At Least 1 Year Expected Travel Time: None

Keywords: Cornerstone Staffing, Grand Prairie , Appeals Representative, Other , Fort Worth, Texas