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Appeals Analyst Jobs (NOW HIRING)

Allied Benefit Systems

Appeals Specialist

Chicago, IL · Remote

$20 - $21/hr

The Appeals Specialist will be responsible for the organization and completion of all claim appeals ... Applicant must have the ability to analyze claim situations, take appropriate actions and be great ...

CERiS

Appeals Representative II

$18.80 - $30.34/hr

Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as ...

LIBERTY DENTAL

$23 - $28.50/hr

Lead root cause analysis activities, develop corrective action strategiesstrategies, and partner ... Minimum 3 years of experience in grievance and appeals, healthcare law, dental law, or a related ...

Corvel

Appeals Representative II

$18.80 - $30.34/hr

Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as ...

Natera

Revenue Cycle Analyst - Denials & Appeals

$65K - $95K/yr

POSITION SUMMARY The Revenue Cycle Analyst - Denials & Appeals (Unresponded) supports the post-appeal response tracking function within Natera's Billing Operations by providing data-driven insights ...

CERiS

Appeals Representative II

Fort Worth, TX · On-site +1

$18.80 - $30.34/hr

Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as ...

CERiS

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as ...

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Appeals Analyst information

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$37K

$71.2K

$110.5K

How much do appeals analyst jobs pay per year?

As of Sep 3, 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.

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 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.

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.
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Appeals Analyst jobs near you
Infographic showing various Appeals Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 6% Part Time, and 5% Contract. Highlights an 82% Physical, 7% Hybrid, and 11% Remote job distribution, with an average salary of $71,216 per year, or $34.2 per hour.

Appeals & Denial Specialist

Pain Control of Texas PLLC

Austin, TX • On-site

Full-time

Re-posted 7 days ago

Job description

Description:Position Overview

We are seeking an experienced Appeals Specialist to join our growing healthcare organization. This role is responsible for managing insurance denials and payer disputes from identification through resolution, ensuring accurate reimbursement for services rendered.


The ideal candidate has a strong background in orthopedic and/or interventional pain management billing, understands complex procedural coding, and is comfortable navigating payer policies, medical necessity requirements, and appeal escalations.

This position plays a critical role in protecting revenue integrity while supporting efficient patient care operations.


Key Responsibilities
  • Review, analyze, and resolve insurance claim denials and underpayments
     
  • Prepare and submit first-level and escalated appeals to commercial and government payers
     
  • Interpret EOBs, payer correspondence, and denial codes to determine root cause
     
  • Draft detailed appeal letters supported by clinical documentation and payer guidelines
     
  • Collaborate with billing, coding, clinical staff, and leadership to obtain necessary records
     
  • Track appeal status and maintain accurate documentation within billing systems
     
  • Monitor payer trends and identify recurring denial patterns
     
  • Recommend workflow or documentation improvements to reduce future denials
     
  • Maintain productivity and turnaround time standards
Requirements:Required Qualifications
  • Minimum 2 years of appeals or denial management experience in a medical billing or revenue cycle environment
     
  • Strong knowledge of insurance claims lifecycle and reimbursement processes
     
  • Experience working with commercial, Medicare, and workers’ compensation payers
     
  • Ability to interpret medical records and clinical documentation
     
  • High attention to detail with strong organizational skills
     
  • Proficiency with EMR and practice management systems
     
  • Excellent written and verbal communication skills
     
Preferred Qualifications
  • 2+ years of orthopedic or pain management billing/appeals experience strongly preferred
     
  • Experience with interventional procedures, surgery center billing, or specialty practices
     
  • Understanding of CPT, ICD-10, and modifier usage related to procedural specialties
     
  • Familiarity with medical necessity appeals and authorization denials
     
  • Certification such as CPC, CPB, or CRCR (preferred but not required)