Appeals Representative II

CornerStone Staffing

Fort Worth, TX

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JOB DETAILS
SALARY
SKILLS
Analysis Skills, Coding Standards, Communication Skills, Content Management Systems (CMS), Customer Relations, Detail Oriented, Document Management, Healthcare, High School Diploma, Industry Standards, Medical Billing, Medical Terminology, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Outpatient Care, Patient Care, Problem Solving Skills, Provider Relations, Regulations, Time Management
LOCATION
Fort Worth, TX
POSTED
8 days ago

Appeals Representative II

Location: Fort Worth, TX 76102 (remote once hired on perm)

Compensation & Schedule

• $17.00–$17.00 per hour

• Monday–Friday, 8:00 AM–5:00 PM

• Temp to Hire, W2

ROLE IMPACT

As an Appeals Representative II, you’ll play a critical role in ensuring provider appeals are resolved accurately and in compliance with all applicable policies and healthcare regulations. This role directly supports provider satisfaction and impacts revenue cycle integrity through clear communication, detailed analysis, and timely resolution.

KEY RESPONSIBILITIES

• Review, analyze, and respond to provider appeals in accordance with client policy, CMS guidelines, and industry standards

• Interpret provider appeal requests and apply policy and regulatory standards to resolve cases

• Draft professional and compliant written communications

• Utilize tools and reference materials to support appeal resolution

• Ensure appeals are completed within required timelines

• Perform additional tasks as assigned to support provider relations

MINIMUM QUALIFICATIONS

• 1+ years of healthcare revenue cycle experience (e.g., denials, collections, appeals)

• 1+ years of direct Appeals Representative experience

• High school diploma or equivalent

• 1+ years in a high-volume, customer-facing role

CORE TOOLS & SYSTEMS

• Microsoft Office Suite (Word, Excel, Outlook)

• Healthcare claims and appeals platforms

• Document management systems

• CRM and task tracking software

PREFERRED SKILLS

• Knowledge of inpatient and outpatient hospital billing

• Familiarity with medical terminology, contract interpretation, and coding standards

• Strong attention to detail, time management, and issue resolution skills

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: https://www.cornerstonestaffing.com/privacy

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About the Company

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CornerStone Staffing

CornerStone Staffing has tenured recruiters in Texas and Arizona who work with qualified job seekers in Texas, Arizona, Indiana, Kentucky, Tennessee, North Carolina, South Carolina, Georgia, and Florida to help support both in-office and work from home positions for the best companies in the United States.

CornerStone Staffing’s team of experts are the industry leaders in consulting companies on in-office and work from home hiring strategies so whether you need a great job or highly qualified talent, contact CornerStone Staffing’s recruiters in Dallas, Fort Worth, Houston or recruiters in Phoenix, AZ today.

COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
WEBSITE
https://www.cornerstonestaffing.com/