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3Rd Shift Remote Rn Insurance Jobs in Miami, FL (NOW HIRING)

Remote Medical Scribe

Miami, FL · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Be Seen First

... 24-hour Nurse Line serving more than 7 million participants across three countries. Today ... 3rd party scheduling platform · Closely monitor email communications for company information ...

Be Seen First

... 24-hour Nurse Line serving more than 7 million participants across three countries. Today ... 3rd party scheduling platform · Closely monitor email communications for company information ...

Remote Medical Scribe

Hialeah, FL · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Showing results 41-60

3Rd Shift Remote Rn Insurance information

See Miami, FL salary details

$993

$2.2K

$3.2K

How much do 3rd shift remote rn insurance jobs pay per week?

As of Aug 10, 2026, the average weekly pay for 3rd shift remote rn insurance in Miami, FL is $2,183.73, according to ZipRecruiter salary data. Most workers in this role earn between $1,801.92 and $2,538.46 per week, depending on experience, location, and employer.

What is the difference between 3Rd Shift Remote Rn Insurance vs 3Rd Shift Remote Rn Medical Records?

Aspect3Rd Shift Remote Rn Insurance3Rd Shift Remote Rn Medical Records
CredentialsRN license, insurance knowledgeRN license, medical documentation skills
Work EnvironmentInsurance companies, remoteHealthcare facilities, remote
Industry UsageInsurance industryHealthcare industry
Job FocusClaims processing, policy reviewMedical record review, documentation

Both roles require RN licensure and involve remote work, but 3Rd Shift Remote Rn Insurance focuses on insurance claims and policy management within the insurance industry. In contrast, 3Rd Shift Remote Rn Medical Records centers on reviewing and managing medical documentation in healthcare settings. The choice depends on your interest in insurance versus healthcare documentation, though both roles offer remote work opportunities with similar credentials.

What cities near Miami, FL are hiring for 3Rd Shift Remote Rn Insurance jobs? Cities near Miami, FL with the most 3Rd Shift Remote Rn Insurance job openings:
Infographic showing various 3Rd Shift Remote Rn Insurance job openings in Miami, FL as of June 2026, with employment types broken down into 59% Full Time, 26% Part Time, and 15% Contract. Highlights an 48% Physical, 3% Hybrid, and 49% Remote job distribution, with an average salary of $113,554 per year, or $54.6 per hour.

Manager, Clinical Appeals

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 27 days ago


Job description

Job Summary:

We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is responsible for overseeing day-to-day activities of clinical appeal specialists, managing appeal strategy execution, ensuring quality and compliance, and meeting client-specific performance goals.

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and offshore teams (e.g., Philippines). This position is critical to ensuring timely and effective resolution of denied claims, supporting revenue recovery efforts, and maintaining payer and regulatory compliance.

Key Responsibilities:

  • Manage the full-cycle clinical appeals process across multiple payer types, with a focus on government (e.g., Medicare, Medicaid) and commercial payers.
  • Lead and support a team of nurses, clinical reviewers, and appeal specialists—including potential offshore (Philippines-based) staff.
  • Monitor appeal workloads, productivity, and turnaround times to ensure all appeal deadlines and client service level agreements (SLAs) are met.
  • Review and approve complex or high-value clinical appeal cases, ensuring clinical accuracy and compliance with payer guidelines.
  • Maintain up-to-date knowledge of medical necessity criteria, payer policies, NCDs/LCDs, and applicable CMS regulations.
  • Train new and existing team members on clinical guidelines, appeal writing standards, and regulatory requirements.
  • Work cross-functionally with audit, legal, compliance, and operations teams to align on strategy and escalate trends or systemic payer issues.
  • Identify and implement process improvements to increase efficiency, reduce denials, and improve overturn rates.
  • Support the creation and refinement of appeal templates, clinical arguments, and documentation standards.
  • Generate and deliver performance and quality reports to leadership, identifying risks and opportunities for improvement.

Qualifications:

  • Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health Administration, or related field preferred.
  • 5+ years of experience in clinical appeals, utilization review, or medical necessity denials.
  • 2+ years in a leadership or supervisory role, preferably within a revenue cycle or payer appeals setting.
  • In-depth understanding of payer denial processes, especially Medicare Advantage, Medicaid Managed Care, and commercial plans.
  • Experience managing remote and/or offshore teams (Philippines experience preferred).
  • Strong working knowledge of ICD-10, CPT, and HCPCS coding as they relate to clinical justifications.
  • Excellent writing skills and the ability to clearly communicate complex clinical reasoning.
  • Familiarity with appeal submission portals, EHRs, and workflow platforms.
  • Knowledge of HIPAA, CMS, and NCQA standards.