Appeals Representative

Company: CornerStone Staffing
Location: Fort Worth
Posted on: March 17, 2023

Job Description:

CornerStone Staffing is seeking an Appeals Representative that 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:

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  Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication.
  
  
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  Ability to appropriately interpret provider appeals and apply analytical thinking skills.
  
  
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  Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill.
  
  
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  Utilize applicable tools and resources to complete appeals.
  
  
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  Timely completion of appeals.
  
  
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  Additional duties as assigned.
  
  
  
  KNOWLEDGE & SKILLS:
  
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    Prior knowledge of inpatient and outpatient hospital revenue cycle required.
    
    
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    Excellent written and verbal communication skills.
    
    
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    Contract interpretation, medical terminology and coding knowledge.
    
    
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    Proficiency with Microsoft applications.
    
    
    
    EDUCATION/EXPERIENCE:
    
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      High school diploma or equivalent
      
      
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      3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)
      
      
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      2+ years working with customers in a fast-paced, deadline-oriented environment
      
      
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      2+ years experience as an Appeals Representative.
      
      
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      Strong attention to detail, organizational and time management skills with the ability to interpret, research and identify core issues
      
      
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      Strong customer focus, analytical and decision making skills
      
      
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      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:
      
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        If you are currently registered with CornerStone Staffing, click the Log In button to add yourself as a candidate to this job.
        
        
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        If you are NOT currently registered with CornerStone Staffing, click the Create Account button to complete the application.
        
        
        
        #CB
        #ZIP
        

Keywords: CornerStone Staffing, Fort Worth , Appeals Representative, Other , Fort Worth, Texas