Job Details

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 - 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 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. CB ZIP