ZipRecruiter

Log In

1

Appeals Analyst Jobs (NOW HIRING)

next page

Showing results 1-20

All JobsAppeals Analyst Jobs

Appeals Analyst information

See salary details

$37K

$71.2K

$110.5K

How much do appeals analyst jobs pay per year?

As of Jun 12, 2026, the average yearly pay for appeals analyst in the United States is $71,216.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $87,000.00 per year, depending on experience, location, and employer.

How does an Appeals Analyst typically collaborate with other departments during the appeals review process?

Appeals Analysts frequently work with departments such as claims, medical review, customer service, and compliance to gather necessary information and ensure a thorough, accurate evaluation of appeals. Collaboration may involve requesting documentation, clarifying policy interpretations, and discussing complex cases to reach a resolution. This cross-functional teamwork is essential for maintaining workflow efficiency and upholding regulatory requirements. Developing strong communication skills and a collaborative mindset will help you succeed in this role.

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

To thrive as an Appeals Analyst, you need a strong understanding of healthcare regulations, claims processing, and analytical problem-solving, usually supported by a relevant degree in healthcare administration or a related field. Familiarity with claims management systems, medical coding software, and regulatory databases is commonly required, and certifications like Certified Professional Coder (CPC) can be advantageous. Attention to detail, strong written communication, and time management are crucial soft skills for effectively reviewing and resolving appeals. These skills ensure accurate, timely, and compliant resolution of appeals, which is vital for organizational efficiency and customer satisfaction.

What Does an Appeals Analyst Do?

As an appeals analyst, it’s your job to review the denial of an insurance claim by a health insurance company. If a customer disagrees or appeals the denial, it is your job to analyze their coverage, claims history, and medical records to decide if the decision is fair. Responsibilities include deciding whether to overturn the claim denial, issuing payment, and keeping reports. Qualifications are an understanding of health insurance and claims, as well as strong analytical skills. You may choose to pursue a bachelor’s degree in business, but many employers offer on-the-job training.

What is an Appeals Analyst?

An Appeals Analyst is a professional who reviews, investigates, and resolves appeals related to claims, usually within the healthcare or insurance industries. Their primary responsibility is to analyze denied or disputed claims to determine if the original decision was accurate based on policy guidelines, regulations, and supporting documentation. Appeals Analysts communicate with providers, members, and internal teams to gather necessary information and ensure that appeals are processed in a timely and fair manner. They play a crucial role in ensuring compliance and upholding the integrity of the appeals process.
More about Appeals Analyst jobs
What cities are hiring for Appeals Analyst jobs? Cities with the most Appeals Analyst job openings:
What are the most commonly searched types of Appeals Analyst jobs? The most popular types of Appeals Analyst jobs are:
Who are the top companies hiring for Appeals Analyst jobs? The top employers for Appeals Analyst jobs are:
What states have the most Appeals Analyst jobs? States with the most job openings for Appeals Analyst jobs include:
What job categories do people searching Appeals Analyst jobs look for? The top searched job categories for Appeals Analyst jobs are:
What are popular job titles related to Appeals Analyst jobs? For Appeals Analyst jobs, the most frequently searched job titles are:
Appeals Analyst jobs near you
Infographic showing various Appeals Analyst job openings in the United States as of June 2026, with employment types broken down into 6% Locum Tenens, 63% Full Time, and 31% Part Time. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $71,216 per year, or $34.2 per hour.
Managed Care Appeals Analyst

Managed Care Appeals Analyst

Elevate Patient Financial Solutions

Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Elevate Patient Financial Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

Job description

Elevate Patient Financial Solutions has an exciting career opportunity available as a Managed Care Appeals Analyst. This position will be remote based. The full time schedule for the position will be 8 AM-5 PM, Monday-Friday.
Job Summary
The Managed Care Appeals Analyst will research closed - $0 balance accounts for underpayment amounts due from payors per established contracts. Appeal Analysts ensure that payments made are accurate and in full per the contract agreements identifying and reporting payor trends through established policies amp; procedures. This position also creates 1st and 2nd level appeals when accounts are not reimbursed according to established contracts.
Essential Duties and Responsibilities
  • Perform daily, systematic reviews of $0 balance accounts for the appropriate contractual reimbursement.
  • Post adjustments and patient responsibility at time of account review.
  • Use payor contract, remit, and audit note to troubleshoot and/or identify reimbursement efficiencies.
  • Create high level, detailed appeals that specifically identify what service(s) were not paid accurately and locate supporting information in the payor contract to submit with the appeal.
  • Contact identified payor sources to confirm eligibility, coordination of benefits, patient responsibility, DRG, APR-DRG, and any other denial or claims issue not clearly identified or understood.
  • Navigate payor portals to verify eligibility, claim status, coordination of benefits, track and monitor submitted appeals.
  • Monitor payments for accuracy, contacting payor to resolve outstanding amounts, recoupments, RAC Audits, or overpayments.
  • Accurately document outcome of all research and work performed on accounts in the system in accordance with Standard Operating Procedures.
  • Consistently meet the current productivity standards in ensuring accounts are appealed properly and accurately as assigned by leadership.
  • Enhance professional growth and development through bridge online learning, and weekly team meetings.
  • Complies with client, departmental, and organizational policies and procedures as they relate to the job.
  • Refers complex or sensitive issues to the attention of the supervisor to ensure corrective measures are taken in a timely fashion.
  • Accepts and learns new tasks as required and demonstrates a willingness to work where business needs are largest.
  • Demonstrate knowledge of HIPAA privacy standards and ensure compliance with system PHI privacy practices.
  • Be cross trained in multiple clients and hospital system platforms.
  • Communicate in a professional with fellow coworkers, clinical staff, coders, supervisors, and representatives from payor organizations.
  • Follow departmental guidelines for lunch, breaks, requesting time off, and shift assignments.
  • Regular and timely attendance.
  • Perform other duties as assigned.
Qualifications and Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
  • Associate or bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or closely related field or in lieu of degree, four (4) additional years of relevant work experience may be considered.
  • Minimum of one (1) year healthcare related experience in auditing.
  • 4+ years recent revenue cycle, hospital reimbursement, Ambulatory Surgical Center, Behavioral Health, third party payor contracting, and appeals writing.
  • 4+ years proficient knowledge of reimbursement methodologies such as DRG, EAPG, OPPS and APC.
  • 4+ years analyzing claims data applying knowledge of medical policy such as NCCI and MUE edits to determine details of overpayments.
  • Intermediate skills in Microsoft applications: spreadsheets, word processing, data base applications, and knowledge of billing system applications preferred.
  • Basic understanding of HIT systems like EPIC, Cerner, Meditech, Paragon and other billing systems.
  • Ability to identify, understand and use general medical billing terminology including: UB04, CPT Codes, ICD10 codes, DRG codes APR-DRG Codes, EOB, RA.
  • Must be able to formulate and write formal business communications to commercial and governmental payors.
  • Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria.
Benefits

ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
  • Medical, Dental amp; Vision Insurance
  • 401K (100% match for the first 3% amp; 50% match for the next 2%)
  • 15 days of PTO
  • 7 paid Holidays
  • 2 Floating holidays
  • 1 Elevate Day (floating holiday)
  • Pet Insurance
  • Employee referral bonus program
  • Teamwork: We believe in teamwork and having fun together
  • Career Growth: Gain great experience to promote to higher roles
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Elevate, PFS is an Equal Opportunity Employer

What Elevate Patient Financial Solutions employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply