Revenue Cycle Clinical Denials Specialist
Job Description
CornerStone Professional Placement is looking for a Revenue Cycle Clinical Denials Specialist for a reputable client based in Fort Worth, TX. The qualified candidate will have a strong background in clinical denials, hospital billing, and payor appeals. This role will focus on reviewing complex clinical denials, identifying root causes, preparing compelling written appeals, and helping improve reimbursement outcomes.
Location: Fort Worth, TX 76116 – Onsite
Employment Type: Temporary Assignment
Pay: $28–$32/hour
Responsibilities:
• Review and resolve clinical denials involving authorization, referrals, level of care, medical necessity, and other reimbursement issues
• Research denied claims using clinical documentation, payor policies, contracts, and reimbursement guidelines
• Prepare and submit professional, well-supported payor appeals and perform account and charge reconciliation
• Track denial and appeal outcomes, identify root causes and recurring trends, and recommend process improvements
• Maintain accurate documentation and collaborate with clinical, financial, and revenue cycle stakeholders to resolve reimbursement issues
Requirements:
• Previous hospital revenue cycle and clinical denials experience with strong clinical appeal writing skills
• Prior Epic Revenue Cycle / HB Resolute experience — REQUIRED
• Knowledge of CPT, HCPCS, ICD-10, medical terminology, billing forms, payor policies, and healthcare reimbursement
• Working knowledge of medical decision-making criteria tools, including InterQual and Milliman Care Guidelines (MCG)
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Ready to embark on an exciting career journey in Fort Worth, Texas? Explore our job listings in this vibrant city known as the 'City of Cowboys and Culture.' Fort Worth offers a perfect blend of rich Western heritage and modern amenities, making it an ideal destination for job seekers looking for growth opportunities and a high quality of life. From the iconic Fort Worth Stockyards to the world-renowned Kimbell Art Museum, there is something to enchant everyone here. Indulge in mouthwatering Tex-Mex cuisine, catch a show at the Bass Performance Hall, support the revered Fort Worth Symphony Orchestra, or cheer on the Dallas Cowboys at AT&T Stadium. Come discover why Fort Worth is the perfect place to take the next step in your career and experience its irresistible charm firsthand.