Appeals Jobs

Rethink Behavioral Health is hiring an AR Specialist to manage A/R aging, appeals, and claims corrections for behavioral health clients in a remote full-time role.

Rethink Behavioral Health is seeking an AR Reimbursement Coordinator to manage claims, appeals, and account communications to maximize timely insurance reimbursement for therapy services.

Experienced RN needed to manage clinical appeals and second‑level reviews for TRICARE members in a remote role with Humana.

Lehigh Valley Health Network is hiring an Audit Clinical Data Coordinator to manage audit logging, claims analysis, denial follow-up, and reporting for clinical audit and compliance teams.

HealthAxis is hiring a part-time Medical Director (Utilization Management) in Tampa to lead clinical review, medical necessity determinations, and UM program improvements for payer clients.

Experienced Utilization Review Specialist needed to manage authorizations, negotiate SCAs, and handle continued stay reviews for a remote behavioral health team serving adolescents.

Brandeis University seeks a part-time Temporary Financial Assistant to support the Financial Aid team (Nov 2025–Mar 2026) by performing need analysis, federal verification, and program processing.

HealthAxis is hiring a Medical Director of Utilization Management to lead clinical review decisions, ensure regulatory-compliant UM programs, and drive process improvements across payer-facing operations.

Carelon Medical Benefits Management, an Elevance Health company, is hiring a board-certified MD/DO as an Associate Medical Director to provide timely clinical case reviews and medical necessity determinations in radiology and utilization management.

PHIL seeks a pharmacy-focused Prior Authorization Specialist on a 4-month contract to manage electronic prior authorizations, support providers, and help ensure timely patient access to specialty medications.

Abby Care is hiring a Denver-based Case Management Coordinator to lead Colorado CMA relationships and manage waiver prior authorizations, reauthorizations, and appeals to ensure continuous LTHH care.

Serve as a Tax Commission Hearing Officer adjudicating not-for-profit real property tax exemption appeals for the City of New York, conducting hearings and issuing written determinations.

Remote Revenue Cycle Specialist needed to manage insurance account transactions, appeal and denial workflows, and support AR resolution for a leading academic medical center.

Northwestern Medicine is hiring a full-time RN Case Manager for its Neuro Rehab Clinic to lead discharge planning, utilization management, and care coordination for complex patients on day shifts.

Experienced medical billing specialist needed to manage full-cycle billing, claims resolution, and AR reconciliation for a fast-paced healthcare services team.

Sutherland is hiring a Contract Clinical Appeals RN in Houston to evaluate medical records and craft clinical appeals to address managed care denials on a 1099, per-appeal pay basis.

DaVita seeks a Revenue Lead, ROPS in Malvern to lead complex collections, coach patient account specialists, and improve revenue cycle quality and payer resolution.

Northwestern Medicine seeks a remote Financial Assessor (must reside in IL, IN, IA, or WI) to manage third-party AR, resolve denials, and ensure clean, timely claims.

National Vision seeks a detail-oriented Managed Care Biller to manage electronic and paper claim submissions, research denials, and secure clean adjudication across payors in a hybrid role.

Provide specialized pharmacy billing, prior authorization, and reconciliation support for UMMS Infusion Services to enable timely patient access to specialty treatments.

A field-based Market Access professional will provide account-level support and escalate complex reimbursement challenges to ensure timely patient access to Galderma biologic therapies across the San Francisco/San Jose territory.

Ability Rehabilitation is hiring a bilingual Patient Account Representative to manage billing, collections, and patient-facing account tasks at its Rome outpatient clinic.

University of Rochester Patient Financial Services is hiring a Claims Resolution Representative IV to resolve complex insurance claims, maximize revenue collection, and train staff.

Experienced utilization-review and case-management professional needed to oversee precertification, concurrent review, appeals, and discharge planning at a Greenwood behavioral health hospital.

Galderma is hiring a Field Access Manager in New Brunswick/Central Jersey to support patient access to biologic dermatology therapies and partner with sales and patient services to resolve complex reimbursement challenges.

Galderma is hiring a Field Access Manager (Northeast) to resolve reimbursement barriers and coordinate patient support for dermatology biologic therapies across a defined territory.

Field-based access specialist needed to remove reimbursement barriers and educate dermatology practices on Galderma’s patient support services across the North Shore MA / Portland ME territory.

Experienced denial specialist needed to manage claim appeals, payer relations, and denial trend analysis for UChicago Medicine Ingalls Memorial's Revenue Cycle team in a primarily remote, hybrid role.

A remote Appeals Management Coordinator is needed to manage denial research and appeal submissions for multiple client facilities, ensuring accurate documentation and timely payer follow-up.

EVERSANA is hiring a Healthcare Call Center Specialist to deliver benefit verification, prior authorization support, and payer triage for patients, HCPs, and payers in a fast‑paced clinical support environment.

The University of Arkansas is hiring a Customer Service Representative III to manage parking inquiries, payments, and appeals while providing courteous, accurate service to campus customers.

Galderma is hiring a field-based Field Access Manager to partner with sales and access teams to resolve reimbursement barriers and improve patient access to biologic dermatology treatments in the Houston North / Dallas South territory.

Experienced pharmaceutical access professional needed to support patient and account access to Galderma biologic therapies in the South Central territory from a Little Rock-based field role.

Provide front-line revenue cycle and patient financial support for the Radiation Oncology team, handling charge entry, claims, patient inquiries, and administrative coordination using EPIC/Aria/Mosaiq.

Work remotely for West Virginia University Health System as an Insurance Specialist handling eligibility verification, pre-authorizations in EPIC, and patient financial communications.

Centene is hiring a remote Grievance & Appeals Coordinator I to manage and resolve provider and member appeals and grievances while supporting HEDIS and pay-for-performance activities on Pacific Time.

Serve Baltimore City as a Senior Program Assessment Analyst performing real property assessment analysis and managing documentation and prosecution of assessment appeals for the Department of Finance.

Lead transplant-focused financial operations at a top academic medical center, managing Medicare cost reporting, PKE/living donor billing, work queues, and reimbursement strategy.

EVERSANA seeks an experienced Field Reimbursement Manager in the Northeast to resolve complex payer and patient access barriers and support healthcare providers through the reimbursement lifecycle.

The Department of Finance is hiring a Senior Program Assessment Analyst to analyze real property assessments and support the documentation and prosecution of assessment appeals at Baltimore City Hall.

Support Guardant Health's billing operations by driving follow-up on unpaid claims and managing external appeals to secure appropriate reimbursement.

Northwestern Medicine is hiring a Case Manager RN (casual, weekend days) at Lake Forest Hospital to manage discharge planning, utilization review, and insurance appeals to support safe, efficient patient transitions.

Lead QA monitoring, audits, reporting, and staff supervision for ABH's WISE program to ensure compliance, quality improvement, and effective provider performance.

Serve the City of Baltimore as a Senior Program Assessment Analyst conducting detailed property assessment analyses, managing appeals documentation, and supporting appeal prosecutions.

Prime Healthcare is hiring a Clinical Appeals Specialist to review denials, develop payer appeals, and identify trends to improve claims recoveries and medical necessity outcomes.

Northwestern Medicine seeks an experienced RN Case Manager for a casual weekend days role at Lake Forest Hospital to lead discharge planning, utilization review, and care coordination.

Ability Rehabilitation is recruiting a detail-oriented Patient Account Representative to manage billing, claims follow-up, and patient account collections at their Rome outpatient orthopedic clinic.

Medical Billing Center is hiring an Accounts Receivable Specialist to manage billing cycles, insurance claims and collections for therapy clients while supporting client success and operational improvement.

Humana is hiring an Appeals Representative to analyze clinical documentation, resolve appeals and grievances, and manage case inventory across hybrid and Eastern Time zone schedules.

St. Luke's Health Plan is hiring a Senior Pharmacy Benefits Specialist to handle escalated PBM issues, manage prior authorizations and appeals, and mentor pharmacy benefits team members.