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Appeal Writer Jobs (NOW HIRING)

Moda Health

Appeal Coordinator I

Milwaukie, OR · On-site

Respond in writing (or orally when appropriate) to requests, grievances, complaints, and appeals within the mandated timeframes. * Ability to maintain a full caseload. * Communicate effectively and ...

Sprinter Health

Denial & Appeal Specialist

Write and submit clinical and administrative appeals; escalate to peer-to-peer review when appropriate * Analyze 835 remittance files to identify denial reason codes (CO-4, CO-97, CO-16, PR-96, etc ...

Pacer Group

Utilization Management RN

Pomona, CA · On-site

$45 - $55/hr

Graduate of accredited School of Nursing with associate's degree * 1 to 2 years' experience in Utilization Management and Appeals/Denials Management * 1 to 2 years in appeal writing to insurance ...

HELP-Hire

Utilization Review $60.00

Pomona, CA

Description Experience: 1 to 2 years' experience in Utilization Management and Appeals/Denials Management 1 to 2 years in appeal writing to insurance payers or providers Licensure: RN License in US ...

Regal Medical Group, Inc.

$23 - $26/hr

Handle and document resolution to escalated telephone and written appeals. * Implement and coordinate issue resolution processes. * Liaison for department with outside providers and internal ...

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How much do appeal writer jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for appeal writer in the United States is $24.13, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $26.92 per hour, depending on experience, location, and employer.

What are Appeal Writers?

Appeal Writers are professionals who specialize in drafting and submitting appeals on behalf of individuals or organizations, often in contexts such as healthcare, legal cases, insurance claims, or academic decisions. Their primary role is to clearly present the facts, cite relevant policies or laws, and craft persuasive arguments to support their client's case. Appeal Writers must have excellent writing skills, attention to detail, and a solid understanding of the subject matter related to the appeal. They frequently work with legal teams, medical professionals, or administrative staff to gather necessary documentation and evidence.

What are the key skills and qualifications needed to thrive as an Appeal Writer, and why are they important?

To thrive as an Appeal Writer, you need excellent written communication, research abilities, and a strong understanding of relevant policies or regulations, often supported by a background in law, healthcare, or insurance. Proficiency with document management systems, word processing software, and sometimes specialized appeals tracking platforms is essential. Attention to detail, critical thinking, and the ability to persuasively present arguments are crucial soft skills for this role. These skills ensure that appeals are well-structured, compliant, and compelling, which can significantly increase the likelihood of favorable outcomes for clients or organizations.

What are some common challenges Appeal Writers face when preparing and submitting appeals, and how can they be addressed?

Appeal Writers often encounter challenges such as tight deadlines, complex regulatory requirements, and the need to tailor communications to various audiences (e.g., insurers, government agencies). To address these challenges, it's important to stay organized, maintain up-to-date knowledge of relevant policies, and collaborate closely with medical or legal staff to gather accurate supporting documentation. Building strong research and writing skills also helps ensure that appeals are clear, persuasive, and compliant with industry standards.

What is the difference between Appeal Writer vs Content Writer?

AspectAppeal WriterContent Writer
CredentialsWriting skills, sometimes legal or policy knowledgeStrong writing skills, SEO knowledge often preferred
Work EnvironmentLegal, government, or insurance settingsMarketing, media, online platforms
Employer & IndustryLegal firms, insurance companies, government agenciesMedia companies, marketing agencies, websites
Search & Comparison IntentUnderstanding appeal writing processes and skillsComparing general writing roles and skills

Appeal Writers focus on crafting persuasive appeals, often within legal or insurance contexts, requiring specialized knowledge. Content Writers create engaging online content, emphasizing SEO and audience engagement. While both roles involve strong writing skills, Appeal Writers typically work in regulated environments, whereas Content Writers operate mainly in marketing and media sectors.

More about Appeal Writer jobs
What cities are hiring for Appeal Writer jobs? Cities with the most Appeal Writer job openings:
What job categories do people searching Appeal Writer jobs look for? The top searched job categories for Appeal Writer jobs are:
Appeal Writer jobs near you
Appeal Coordinator I

Appeal Coordinator I

Moda Health

Milwaukie, OR • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Moda Health rating

8.7

Company rating: 8.7 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

62nd of 260 rated insurance

Job description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Job Summary:
Investigate and respond to medical, pharmacy and dental grievances, complaints, appeals, and inquiries for the organization. Respond to outside regulatory inquiries as needed. This position is in Government Programs.

This is a FT WFH position.

Pay Range

$21.30 - $23.96 hourly (depending on experience).
*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.


Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27776277&refresh=true
Benefits:

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistance Program
  • PTO and Company Paid Holidays


Primary Functions:

  1. Research all grievances, complaints, correspondence, and appeals. Perform a complete review at each stage of the complaint/appeal process and ensure the appropriate documentation, including claim review to determine over/underpayment.
  2. Respond in writing (or orally when appropriate) to requests, grievances, complaints, and appeals within the mandated timeframes.
  3. Ability to maintain a full caseload.
  4. Communicate effectively and appropriately with other departments to ensure complete and fair reviews of grievances, complaints, and appeals.
  5. Communicate by letter and/or telephone with members, claimants, independent review entities, attorneys, and providers regarding claims/policies on Moda Health benefit plans.
  6. Interpret contracts (evidence of coverage; handbooks) and determine actions required.
  7. Respond to independent review entity requests for member case files within the stipulated timelines and ensure appropriate documentation required for reporting. Staff may also be required to respond to DFR requests or attend Medicaid hearings as a representative of the company.
  8. Work with appropriate departments to effectuate decisions.
  9. Meets the departments established production and accuracy standards for case completion.
  10. Accurately document in system the outcome of grievances, complaints, and appeals.
  11. Other duties as assigned

Required Skills & Experience:

  1. High School diploma or equivalent.
    • 6 months to 2 years of experience of medical/dental claims processor or customer service preferred.
    • Demonstrated knowledge of CMS rules for Medicare and Medicaid grievance, complaint and appeal processes preferred.
    • Knowledge and understanding of complaint and appeal procedures preferred.
  2. Ability to interpret benefit contracts and/or Moda Health administrative policies, products, and business lines.
  3. Demonstrated strong reading, verbal, written and interpersonal communication skills.
  4. Demonstrated initiative, analytical, problem solving, and organizational skills.
  5. 10 key proficiency of 105 kspm on a numeric keypad.
  6. Type a minimum of 25 wpm accurately on a computer keyboard.
  7. Demonstrated proficiency in computer applications such as Word, Excel, or other core operating systems.
  8. Ability to work well under pressure and meet deadlines while completing a high volume of work.
  9. Ability to maintain confidentiality and project a professional business image.
  10. Ability to adhere to Moda Health attendance policies and work assigned schedule which may include some overtime and occasional weekend and Holiday coverage.
  11. Ability to communicate positively, patiently, and courteously.

Working Conditions & Contact with Others:

  • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need.

  • Inside the company including with Medicare Programs, Medicaid Services, Professional Relations and Contracting, Customer Service, Membership Accounting, Claims, Legal Services, Regulatory, Compliance, Privacy and Healthcare Services teams. Outside the company with Members, Provider Offices, Independent Review Entities, Attorneys, and contracted vendors.

Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.

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