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Appeal Processing Jobs in United States

67 appeal processing jobs from 50 companies hiring in United States.

67 jobs- United States
2mo
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Appeal Processing - Part Time
LaVista, Nebraska, United States
OnsitePart Time
Bass Pro Shops
Bass Pro Shops: Retailer of outdoor gear, boats, and outdoor recreational products
Part-time position requiring a high school diploma or equivalent; stocking and customer-facing store duties.
2mo
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Appeal Coordinator
Huntington, Indiana, United States
HybridFull Time
Our Sunday Visitor
Our Sunday Visitor: Religious publishing and printing services for the Catholic Church.
1+ YOECoordinate tasks within the Appeal Team; order processing, data entry, customer support; requires 1 year customer service and data entry; high school diploma.
Microsoft Word, Microsoft Excel, Microsoft Outlook, InDesign
2d
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Sr Appeal and Grievance Coordinator
United States
$19-$39/hr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
Coordinate resolution of member or provider appeals; manage appeals/complaints; research and resolve electronic appeals; analyze claim processing; mentor staff.
3w
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UM Appeals Processing Assistant (Hybrid Option)
Gastonia, North Carolina, United States
HybridFull Time
Partners Health Management
Partners Health Management: Manages public behavioral health services in North Carolina.
2+ YOEHigh school diploma or equivalent; two years admin support experience in healthcare; proficient in Microsoft Office; strong communication and data entry; maintains confidentiality.
Microsoft Office, Data entry, Spreadsheet tools
3w
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UM Appeals Processing Assistant (Hybrid Option)
Gastonia, North Carolina, United States
HybridFull Time
Partners Health Management
Partners Health Management: Manages government-funded behavioral health and disability care plans.
2+ YOEHigh school diploma; 2 years administrative support experience in healthcare; proficient in Microsoft Office; strong communication and data-entry skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook
3w
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UM Appeals Processing Assistant (Hybrid Option)
Gastonia, North Carolina, United States
HybridMultiple Commitments Available
Partners Health Management
Partners Health Management: Manages public healthcare and behavioral services in North Carolina.
2+ YOEHigh School graduate with two years administrative support experience in healthcare/behavioral health; proficient in MS Office; strong organizational and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook
1w
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Appeals Processing Senior Representative - Evernoth - Remote
United States
$19-$29/hr RemoteFull Time
The Cigna Group
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
1+ YOESenior-level role requiring medical coding certification, knowledge of CPT-4/ICD-9/ICD-10, and regulatory compliance; 1+ year coding experience preferred.
1w
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Grievance & Appeals Specialist
Madison or Wisconsin
$25-$28/hr HybridFull Time
WPS Health Solutions
WPS Health Solutions: Provides health insurance plans and administers government benefit programs.
3+ YOE3+ years healthcare customer service or grievance/appeals; HS diploma; knowledge of grievance/appeals processes and healthcare regulations; strong written/verbal communication; ability to manage high-volume cases.
Claims processing system, Case management system
1w
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Coordinator, Appeals Management Subcontractor
Plano or United States
RemoteFull Time
CorroHealth
CorroHealth: Technology-driven revenue cycle management solutions for healthcare providers.
Full-time remote coordinator for appeals management; subcontractor role requiring alignment with contingent worker process.
2d
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Appeals Analyst
United States
$22-$33/yr RemoteFull Time
Highmark Health
Highmark Health: Provides health insurance and integrated medical care services.
3+ YOE3-5 years in appeals/grievances; High School Diploma; knowledge of claims processing and government regulations; strong communication.
2mo
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Denials And Appeals Specialist
Dover, Delaware, United States
$21-$32/hr OnsiteFull Time
Bayhealth
Bayhealth: Provides comprehensive medical care and emergency services in Delaware.
4+ YOEReviews and processes charges, handles denials and appeals, coordinates with providers, and ensures accurate claims; requires related accounting/denials experience.
1mo
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Manager, Appeals and Grievances
New York or Lake Mary
$103k-$149k/yr HybridFull Time
Healthfirst
Healthfirst: Provides non-profit health insurance and managed care services.
Bachelor’s degree or equivalent experience; appeals/grievance processing experience; team leadership; ability to manage multiple priorities; effective cross-functional communication.
1mo
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Office Support Specialist II
Springfield, Massachusetts, United States
$63k-$90k/yr OnsiteFull Time
Commonwealth of Massachusetts
Commonwealth of Massachusetts: Providing public services and governance to the people of Massachusetts.
3+ YOEAdministrative support; supervises staff; schedules hearings; processes appeals and inquiries.
3w
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Appeals Analyst, Associate
Kansas City, Missouri, United States
OnsiteFull Time
Blue Cross and Blue Shield of Kansas City
Blue Cross and Blue Shield of Kansas City: Provides health insurance and managed healthcare services to members.
2+ YOEAssociate degree or equivalent in business/healthcare; 2 years in health insurer role; knowledge of claims/appeals processes; strong communication and data handling skills.
6d
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Grievance and Appeals Coordinator I
South San Francisco, California, United States
$29-$37/hr HybridFull Time
Health Plan of San Mateo
Health Plan of San Mateo: Provides government-sponsored health insurance plans for San Mateo County.
2+ YOEExperience in grievance/appeals processing; knowledge of Medi-Cal/Medicare; associate degree or higher; proficient in Microsoft Office; strong written and verbal communication.
Microsoft Office Suite
2w
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Clinical Appeals Manager, Medical Plaza II
Louisville, Kentucky, United States
OnsiteFull Time
UofL Health
UofL Health: Integrated academic health system providing hospital and specialty medical care.
5+ YOEBachelor’s in nursing; 5+ years clinical experience; RN license; experience with appeals/denial processing preferred; CCM/CPUM certifications preferred.
Excel, Word, Outlook, Electronic filing systems
3w
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SALES ASSOCIATE - SHOES
West Des Moines, Iowa, United States
OnsiteFull Time
Von Maur
Von Maur: Operates a chain of upscale fashion department stores.
Assist customers, drive sales, process POS transactions, and maintain a clean, appealing department.
POS, Sales software
3w
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Billing Specialist (Medicare HMO)
Lafayette, Louisiana, United States
OnsiteFull Time
Acadian Companies
Acadian Companies: Provides emergency medical transportation and industrial safety services.
Process and resolve insurance claims, ensure proper payment, appeal denials and resolve claims.
Google Workspace, Microsoft Office, Related software
3w
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Grievance and Appeals Specialist (Hybrid)
New York, New York, United States
$28-$32/hr HybridFull Time
VillageCare
VillageCare: Provides managed long-term care and community-based health services.
2+ YOEAssociate's degree in related field; 2-3 years in insurance/managed care; knowledge of grievances/appeals, claims processing or UM; proficient in MS Excel, Word, Outlook.
Microsoft Excel, Microsoft Word, Outlook
5d
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Appeals & Complaints Specialist III
United States
$21-$31/hr RemoteFull Time
SKYGEN
SKYGEN: Provides software and services for dental and vision benefits administration.
2+ YOE2+ years in complaints/appeals processing in managed care; strong MS Word/Excel/Outlook; healthcare terminology experience; high school diploma; remote work ability.
MS Word, MS Excel, MS Outlook, Letters/Communication Tools
1w
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QM Coordinator
Orange, California, United States
$22/hr OnsiteFull Time
Sonrava Health
Sonrava Health: A dental support organization providing comprehensive oral healthcare services.
1+ YOEManage grievances/appeals, investigate complaints, prepare records, ensure timely processing and regulatory compliance.
12h
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Denial & Reconsiderations Specialist
South Miami, Florida, United States
OnsiteFull Time
Larkin Community Hospital
Larkin Community Hospital: Operates teaching hospitals providing acute and behavioral healthcare services.
5+ YOEFive+ years in denials management and appeals; healthcare claims processing; Medicare/Medicaid and billing knowledge.
1mo
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Clinical Denial Specialist
Ada or United States
$40k-$66k/yr RemoteFull Time
Guidehouse
Guidehouse: Provides management and technology consulting services to diverse organizations.
Associate or bachelor’s degree in related healthcare fields; experience in hospital revenue cycle, clinical denials, appeals, utilization management, or medical claims processing; knowledge of payer denial codes and appeal workflows.
1mo
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Appeals and Grievance Coordinator
Reno, Nevada, United States
$22-$31/hr OnsiteFull Time
Renown Health
Renown Health: Integrated healthcare network and hospital system in Northern Nevada.
3+ YOEThree years’ experience processing health insurance appeals and grievances; strong knowledge of CMS, state/federal regulations, and health plan operations; excellent written and verbal communication; ability to maintain confidentiality.
Microsoft Office Suite, Outlook, Excel, PowerPoint, Word
2d
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Appeals and Grievance Support (Monday-Friday)
Springfield, Oregon, United States
$32k-$52k/yr OnsiteFull Time
PacificSource
PacificSource: Provides health insurance plans and healthcare administration services.
1+ YOEProvide clerical support for Appeals and Grievance team; at least 1 year of customer service or claims processing; data entry; strong research and analytical skills; high school diploma required.
Facets, OnBase
2mo
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INSURANCE BILLING SPECIALIST, PATIENT FINANCIAL SERVICES
Valdosta, Georgia, United States
OnsiteFull Time
SGMC Health
SGMC Health: Provides hospital services and specialized medical care in Georgia.
Responsible for processing hospital patient billing, submitting claims, verifying insurance, following up on unpaid balances, and appealing denials.
2mo
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Assistant Store Manager - No Nights!
Miami, Florida, United States
$18/hr OnsiteFull Time
SmartStop Self Storage
SmartStop Self StorageNYSE: SMA: Operates and manages a portfolio of self-storage facilities.
Leases storage units, processes rentals, supervises team, handles financial transactions, maintains curb appeal; no night shifts.
1mo
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Registered Nurse - Utilization Management - Full Time (varied hours) - Jefferson
Philadelphia or Philadelphia
OnsiteFull Time
Jefferson
Jefferson: Providing healthcare services and academic programs in Pennsylvania.
RN with utilization management experience applying medical necessity criteria and handling denial/appeal processes; collaborates with case management.
2mo
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ShopRite - Night Crew Clerk
New London, Connecticut, United States
OnsiteFull Time
ShopRite
ShopRite: Operates a cooperative chain of supermarkets in the northeastern US
Deliver great customer experience while unloading and processing deliveries in the Grocery Department; maintain a neat, clean and visually appealing department.
3w
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Claims Specialist I - Provider Claims
California, United States
$26-$33/hr RemoteFull Time
Inland Empire Health Plan
Inland Empire Health Plan: Provides managed healthcare coverage to residents of the Inland Empire.
4+ YOEFour+ years in evaluating/processing medical claims; proficiency in claims systems, ICD-10/CPT; experience with disputes, appeals, adjustments.
Medical claims system, ICD-10 coding, CPT coding, HCPCS coding, Microsoft Office Excel
1mo
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General Billing Specialist - Business Office - Days
Beaumont, Texas, United States
OnsiteFull Time
Baptist Hospitals of Southeast Texas
Baptist Hospitals of Southeast Texas: Operates non-profit hospitals and medical centers in Southeast Texas.
1+ YOEHigh School diploma or equivalent; 1-3 years related experience; billing and claims processing, remittance/rejection handling, and appeals.
2d
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Claims Customer Service Advocate II
Columbia, South Carolina, United States
OnsiteFull Time
PGBA
PGBA: Administers healthcare benefit programs for government and industry partners.
1+ YOEHigh school diploma required; 1 year claims/appeals processing or related experience; strong communication and customer service skills.
Microsoft Office, Claim processing system
2w
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A/R Collections Specialist
Dallas, Texas, United States
OnsiteFull Time
KidsCare Home Health
KidsCare Home Health: Provider of pediatric home health and therapy services.
1+ YOE1-2 years medical billing experience; skilled in denials, appeals, and ERA/EOB processing; strong detail, communication, and teamwork.
3w
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Appeals Specialist-Entry Level
Doraville, Georgia, United States
OnsiteFull Time
NANA Healthcare Management
NANA Healthcare Management: Operates behavioral health facilities and specialized medical billing services.
1+ YOEHigh school diploma or equivalent required; 1–2 years in medical billing, appeals, or denial management; strong knowledge of CPT/ICD-10/HCPCS; familiarity with Medicare/Medicaid/commercial payer processes; proficient in EHR/billing systems.
6d
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PFS Representative CBO Billing Follow-up Denials Mgt
United States
$18-$27/hr RemoteFull Time
Banner Health
Banner Health: Non-profit integrated healthcare system providing medical and insurance services.
1+ YOEHigh school diploma; 1+ year patient financial services or medical claims; experience with EOBs, appeals, and denials; knowledge of claim processing.
EOB, Claims processing systems
1w
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Development Specialist
Albany, New York, United States
$27-$30/hr OnsiteFull Time
Catholic Charities of the Diocese of Albany
Catholic Charities of the Diocese of Albany: Provides social and human services to people in need.
3+ YOEManage donor database operations, improve gift processing, data integrity, reporting; coordinate Gala for Good; lead fundraising appeals and donor inquiries.
2d
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FCMB Claims Customer Service Advocate II
Columbia, South Carolina, United States
OnsiteFull Time
BlueCross BlueShield of South Carolina
BlueCross BlueShield of South Carolina: Provides health insurance and healthcare administrative services.
1+ YOERespond to inquiries, process claims/appeals, document interactions, and identify and resolve issues; 1+ year claims experience or a bachelor's degree in lieu of experience.
Microsoft Office
1mo
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Medical Authorizations Clerk
Port Jefferson Station, New York, United States
$23-$25/hr OnsiteFull Time
Northwell Health: Provides clinical healthcare services through a hospital network.
Experience in medical insurance authorizations or healthcare administration; high school diploma; knowledge of medical terminology and insurance processes; ability to gather documentation and manage appeals.
1mo
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Insurance AR Specialist - Remote
Alpharetta or Fort Myers or Cape Coral or Charleston or Birmingham
RemoteFull Time
Surgical Information Systems
Surgical Information Systems: Provides clinical and financial software for ambulatory surgery centers.
Performs accounts receivable for ambulatory surgical centers, follows up on denials, writes and initiates appeals, communicates with insurance representatives, and understands insurance collection processes.
3w
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United Surgical Partners International - A/R Specialist
United States
RemoteFull Time
United Surgical Partners International
United Surgical Partners International: Operates a network of ambulatory surgery centers and hospitals.
2+ YOE2+ years ambulatory surgery center revenue cycle, medical collections, insurance billing/verification, denial processing, appeals, and EOB review to maximize reimbursement.
Microsoft Excel, Microsoft Outlook, Advantx, SIS Complete Vision, HST Pathways, Waystar

HiringCafe market data

Appeal Processing Jobs market signals in United States

These signals come from live HiringCafe job inventory, not a static article. Use them to compare the market, then open listings above to apply directly.

Open jobs
67
Hiring companies
50
Fresh sample
67% new in 30d
Salary visibility
44% show pay

Companies appearing in this market

BlueCross BlueShield of South CarolinaHighmark HealthPartners Health ManagementPGBAAcadian CompaniesBanner HealthBaptist Hospitals of Southeast TexasBass Pro Shops

Work location mix in visible results

Onsite: 28Remote: 12Hybrid: 8