Appeals Jobs

Experian is hiring a remote Claims Analyst to support clients through unemployment insurance claims and appeals while analyzing outcomes and recommending improvements.

Experienced billing professional needed to manage healthcare claims, denials, and patient billing inquiries for a compassionate, remote mental-health organization.

Dane Street is hiring Board-Certified Plastic Surgeons licensed in Louisiana to perform flexible, remote utilization reviews on a contract basis, paid per case.

Lead clinical review and care coordination for medically complex MassHealth members by supervising eligibility/authorization processes, interpreting regulations, and partnering with providers and state agencies.

Amazing Care Home Health Services is hiring a Billing and Collections Specialist to handle claims submission, appeals, payer follow-up and payment posting for its San Antonio home health operations.

Privia Health is hiring a hybrid Medical Claims Billing Specialist in Houston to manage claim adjudication, denial appeals, and Salesforce case resolution to support optimized physician revenue cycles.

Privia Health is hiring a Medical Claims Billing Specialist to lead denial management, resolve Salesforce cases, and support revenue cycle performance in a hybrid Houston-based role.

Lead AHF’s health plan claims unit as the Claims Department Manager, overseeing claims adjudication, denials and appeals, team performance, and operational improvements to ensure accurate, timely reimbursement.

Northwestern Medicine is hiring an on-site Utilization Reviewer for Behavioral Health Services to manage precertification, continued stay reviews, discharge planning communication, and insurer appeals.

TREND Health Partners is hiring a remote Provider Services Analyst I to analyze denials, draft effective appeals, and drive recoveries using payer portals and EMR systems.

Albany Medical Center is hiring an Administrative Support Associate VI to perform physician billing, payer appeals, and account reconciliation to ensure accurate revenue capture.

Woundlocal is hiring an in-person Medical Coder in Boerne to ensure accurate ICD-10/CPT/HCPCS coding, claims processing, and documentation compliance for wound care services.

Experienced denials-focused revenue cycle specialist wanted to validate EOBs, generate appeals, and escalate payment trends for a national healthcare services provider.

Join Albany Medical Center's billing team as an Administrative Support Associate VI to perform appeals, payer follow-up and account reconciliation for physician services.

Amaze Health is hiring an in-person Patient Advocate in Denver to help patients navigate insurance, denials, and referrals with empathy, clarity, and operational expertise.

Finni Health seeks an experienced Revenue Cycle Claims Specialist to own claims triage, denial appeals, payer enrollments, and process improvements to maximize reimbursement for our network of autism care providers.

Guardant Health is hiring a Reimbursement Specialist I to manage prior authorizations, resolve claims, and support billing operations in a hybrid U.S. role focused on timely, compliant reimbursement.

UMMS is hiring a Professional Fee AR Specialist to manage and collect professional fee receivables, resolve billing issues, and liaise with payers, patients, and internal teams to maximize reimbursement.

Experienced reimbursement professional needed to lead prior authorization lifecycle management and complex denial resolution for Guardant Health’s billing operations.

Experienced utilization review professional needed to manage authorizations, appeals, audit tracking, and serve as an SME for the UR team at Saint Mary of Nazareth in Chicago.

Enhabit is hiring a detail-oriented Reimbursement Coordinator I (Non-Medicare) to submit and manage insurance claims, follow up on payments, and resolve rejections/denials in a fully remote capacity for eligible-state residents.

Serve as the Medicaid Division’s hearing representative—researching complex medical records, applying statutes and case precedent, and making coverage determinations with a focus on equity and regulatory compliance.

Experienced licensed psychologist needed to perform medical necessity reviews, appeals, and peer-to-peer consultations for Telligen’s managed care contracts on a part-time 1099 basis.

EnableComp is hiring a Resolution Analyst to manage denials and underpayment appeals, leveraging contract review and proprietary RCM tools to recover revenue for healthcare clients.

The University of Rochester is hiring a Physician Support Representative III to manage provider schedules, coordinate perioperative and ambulatory care, and act as the main patient and provider liaison in the PM&R clinic.

Prime Healthcare seeks an organized Utilization Review Tech II to coordinate utilization review and appeals processes, manage payer communications, and maintain audit and denial tracking for our Ontario corporate/facility teams.

Centene seeks a board-certified MD/DO to serve as a Remote Medical Director for Georgia, providing clinical leadership for utilization management, quality improvement, and credentialing.

Serve as a Planner I at the NYC Board of Standards and Appeals, managing zoning and environmental review tasks, coordinating stakeholders, and supporting land-use decisions citywide.

Work as a Disability Analyst 2 in the Collaborative Disability Determination Unit to research, evaluate, and determine eligibility for state and federal disability benefits while coordinating multidisciplinary supports.

Bumble Inc. is hiring an Enforcement Appeals Specialist in Austin to review appeals, enforce community policies, and provide trauma-informed support for safety-related cases.

A remote Medical Billing Specialist is needed to manage claims submission, remit posting, and payer credentialing follow-up for a US-based health tech client using a custom EHR.

Experienced certified medical coder needed to manage end-to-end revenue cycle operations and perform hands-on billing, claim scrubbing, and appeals in a fully remote practice.

Cardinal Health is hiring a remote Patient Support Specialist to perform benefit investigations, manage enrollments and prior authorizations, and support patients and providers in accessing specialty therapies.

Experienced nursing administrator needed to lead Admissions, Intake and Outreach at Calvary Hospital, managing referrals, reimbursement, quality, and departmental operations.

Experienced, board-certified physician needed to lead Utilization Management strategy and clinical operations at Wellmark, driving evidence-based UM decisions, team development, and cross-functional initiatives to reduce overuse and improve quality.

Experienced board-certified Diagnostic Radiology physicians are needed to provide objective medical necessity reviews and advisory opinions for IMEs and utilization review on a flexible, per-case basis.

Experienced, board-certified cardiologist needed to perform independent medical exams and medical necessity reviews on a flexible, remote contract basis.

Northwestern Medicine is hiring a PRN Utilization Reviewer to manage utilization review activities, insurance communications, and appeals for behavioral health patients in a remote capacity.

University of Arkansas is hiring a Customer Service Representative III to manage parking inquiries, process payments and appeals, and provide professional customer support on campus.

Experienced, board-certified MD/DO physicians are sought to serve as remote Medical Directors providing utilization management, clinical quality oversight, and provider collaboration for Centene's member populations.

Experienced denial specialist needed to manage appeals, liaise with payers and physicians, and drive denial trend remediation for UChicago Medicine Ingalls Memorial's Revenue Cycle team.

Experienced claims specialist needed to research denials, manage appeals, and drive timely reimbursement for provider invoices through payer and provider collaboration.

Experienced medical billing and collections specialist needed at USA Clinics Group’s Northbrook corporate office to manage insurance follow-ups, resolve denials, and support revenue cycle operations.

Medicare Specialist needed to manage Medicare payment requests and claims analysis for Berkshire Hathaway Homestate Companies’ Workers Compensation Division in Omaha.

Appellate Clerk II needed by the Supreme Court in Lincoln, NE to manage case filings, court documentation, and support judicial processes.

Support clients by managing unemployment claims and ensuring compliance with state agencies as a Unemployment Claims Analyst at Experian.

Academic Associate at SEI responsible for managing academic policy violations, student complaints, and process improvements while collaborating with university stakeholders.