Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
Medical Review Nurse - CMS RAC (Government audits)
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Knowledge of insurance programs program, particularly the coverage and payment rules. * Ability to ... remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good ...
Medical Review Nurse - CMS RAC (Government audits)
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Knowledge of insurance programs program, particularly the coverage and payment rules. * Ability to ... remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good ...
This role focuses on third-party insurance coverage and bad faith matters on behalf of insurer ... schedule, or fully remote for the right candidate. We offer competitive compensation, bonus ...
This role focuses on third-party insurance coverage and bad faith matters on behalf of insurer ... schedule, or fully remote for the right candidate. We offer competitive compensation, bonus ...
This role focuses on third-party insurance coverage and bad faith matters on behalf of insurer ... schedule, or fully remote for the right candidate. We offer competitive compensation, bonus ...
This role focuses on third-party insurance coverage and bad faith matters on behalf of insurer ... schedule, or fully remote for the right candidate. We offer competitive compensation, bonus ...
Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIES
Miami, FL · On-site +1
$42.50/hr
... shift as applicable. Will be traveling between Bethesda and Boca Regional depending on class schedule.Degrees: * Associates. Licenses & Certifications: * Paramedic. * Registered Nurse. * AHA PALS ...
Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIES
Miami, FL · On-site +1
$42.50/hr
... shift as applicable. Will be traveling between Bethesda and Boca Regional depending on class schedule.Degrees: * Associates. Licenses & Certifications: * Paramedic. * Registered Nurse. * AHA PALS ...
... registered nurses, advanced practice providers, and physicians in roles where they can make a ... New Business Development - Nursing Home & Assisted Living - Remote Position Summary We are seeking ...
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... registered nurses, advanced practice providers, and physicians in roles where they can make a ... New Business Development - Nursing Home & Assisted Living - Remote Position Summary We are seeking ...
Psych Nurse Practitioner (PMHNP, Psych APRN)
Miami, FL · Remote
$250K - $500K/yr
Maintain accurate medical documentation in compliance with HIPAA & insurance regulations * Offer ... Remote Compensation Range: $250K - $500K
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Psych Nurse Practitioner (PMHNP, Psych APRN)
Miami, FL · Remote
$250K - $500K/yr
Maintain accurate medical documentation in compliance with HIPAA & insurance regulations * Offer ... Remote Compensation Range: $250K - $500K
Current RN (Registered Nurse) license. Compact or Multi-State License strongly preferred ... Knowledge of healthcare regulations, insurance processes, and quality improvement methodologies.
Current RN (Registered Nurse) license. Compact or Multi-State License strongly preferred ... Knowledge of healthcare regulations, insurance processes, and quality improvement methodologies.
Remote Health Insurance Agents: $24/hr + OT + Comm & bonuses
Miami, FL · Remote
$768 - $1.3K/wk
We're hiring remote ACA sales agents -- helping families find health coverage they can actually ... first shift. * That's roughly $21,000 in base pay from September 1 through January 15, before a ...
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Remote Health Insurance Agents: $24/hr + OT + Comm & bonuses
Miami, FL · Remote
$768 - $1.3K/wk
We're hiring remote ACA sales agents -- helping families find health coverage they can actually ... first shift. * That's roughly $21,000 in base pay from September 1 through January 15, before a ...
Insurance Defense Attorney - Florida PIP
Miami, FL · On-site +1
Remote ( #LI-Remote ) Our Florida PIP Staff Counsel team is seeking an attorney with Florida PIP ... Frequently sits or stands for prolonged periods of time, up to a full shift. Occasionally moves ...
Insurance Defense Attorney - Florida PIP
Miami, FL · On-site +1
Remote ( #LI-Remote ) Our Florida PIP Staff Counsel team is seeking an attorney with Florida PIP ... Frequently sits or stands for prolonged periods of time, up to a full shift. Occasionally moves ...
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 ...
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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 ...
Remote Medical Scribe
Fort Lauderdale, 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 ...
Quick apply
Remote Medical Scribe
Fort Lauderdale, 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 ...
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Remote Telemedicine Veterinarian - Florida
Miami, FL · Remote
$30/hr
... 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 ...
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Remote Telemedicine Veterinarian - Florida
Miami, FL · Remote
$30/hr
... 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 Psychiatric Nurse Practitioner (PMHNP) - Florida
Miami, FL · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Employer-paid health, dental, and vision insurance (up to 100% of premiums) * 401(k) with employer ...
Quick apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Florida
Miami, FL · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Employer-paid health, dental, and vision insurance (up to 100% of premiums) * 401(k) with employer ...
Be Seen First
Remote Telemedicine Veterinarian - Florida
Miami, FL · Remote
$30/hr
... 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 ...
Quick apply
Be Seen First
Remote Telemedicine Veterinarian - Florida
Miami, FL · Remote
$30/hr
... 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 Psychiatric Nurse Practitioner (PMHNP) - Florida
Fort Lauderdale, FL · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Employer-paid health, dental, and vision insurance (up to 100% of premiums) * 401(k) with employer ...
Quick apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Florida
Fort Lauderdale, FL · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Employer-paid health, dental, and vision insurance (up to 100% of premiums) * 401(k) with employer ...
Work from Home - Insurance Verification Representative
Miami, FL · Remote
$15 - $19/hr
We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, ... You will be on the phone the entire shift. You will need to overcome simple objections and maintain ...
Work from Home - Insurance Verification Representative
Miami, FL · Remote
$15 - $19/hr
We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, ... You will be on the phone the entire shift. You will need to overcome simple objections and maintain ...
Work from Home -Insurance Verification Representative
Miami, FL · On-site +1
$15 - $19/hr
We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, ... You will be on the phone the entire shift. * You will need to overcome simple objections and ...
Work from Home -Insurance Verification Representative
Miami, FL · On-site +1
$15 - $19/hr
We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, ... You will be on the phone the entire shift. * You will need to overcome simple objections and ...
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 ...
Quick apply
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 ...
Remote ( #LI-Remote ) Our Florida PIP Staff Counsel team is seeking an attorney with Florida PIP ... Frequently sits or stands for prolonged periods of time, up to a full shift. Occasionally moves ...
Remote ( #LI-Remote ) Our Florida PIP Staff Counsel team is seeking an attorney with Florida PIP ... Frequently sits or stands for prolonged periods of time, up to a full shift. Occasionally moves ...
3Rd Shift Remote Rn Insurance information
See Miami, FL salary details
$993.23 - $1.2K
3% of jobs
$1.2K - $1.4K
4% of jobs
$1.4K - $1.6K
5% of jobs
$1.6K - $1.8K
11% of jobs
$1.8K is the 25th percentile. Wages below this are outliers.
$1.8K - $2K
14% of jobs
The median wage is $2.1K / yr.
$2K - $2.2K
16% of jobs
$2.2K - $2.4K
14% of jobs
$2.5K is the 75th percentile. Wages above this are outliers.
$2.4K - $2.6K
13% of jobs
$2.6K - $2.8K
10% of jobs
$2.8K - $3K
7% of jobs
$3K - $3.2K
3% of jobs
$993
$2.2K
$3.2K
How much do 3rd shift remote rn insurance jobs pay per week?
What is the difference between 3Rd Shift Remote Rn Insurance vs 3Rd Shift Remote Rn Medical Records?
| Aspect | 3Rd Shift Remote Rn Insurance | 3Rd Shift Remote Rn Medical Records |
|---|---|---|
| Credentials | RN license, insurance knowledge | RN license, medical documentation skills |
| Work Environment | Insurance companies, remote | Healthcare facilities, remote |
| Industry Usage | Insurance industry | Healthcare industry |
| Job Focus | Claims processing, policy review | Medical 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.

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.
About Health Business Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Cooper City, FL, US
Year founded
2002