INSURANCE APPEALS ASSOC
$21 - $26/hr
Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Knoxville, TN Covenant Health Overview: Covenant Health is the region's top-performing ...
$21 - $26/hr
Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Knoxville, TN Covenant Health Overview: Covenant Health is the region's top-performing ...
$21 - $26/hr
Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Knoxville, TN Covenant Health Overview: Covenant Health is the region's top-performing ...
Knoxville, TN · On-site
Overview Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Knoxville, TN Covenant Health Overview: Covenant Health is the region's top ...
Knoxville, TN · On-site
Overview Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Knoxville, TN Covenant Health Overview: Covenant Health is the region's top ...
Atlanta, GA · On-site
$16.75 - $23/hr
Nurse Appeals Associate Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Atlanta, GA · On-site
$16.75 - $23/hr
Nurse Appeals Associate Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Overland Park, KS · On-site
$17.25 - $23.75/hr
Nurse Appeals Associate Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Overland Park, KS · On-site
$17.25 - $23.75/hr
Nurse Appeals Associate Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Norfolk, VA · On-site
$17 - $23.25/hr
Nurse Appeals Associate Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Norfolk, VA · On-site
$17 - $23.25/hr
Nurse Appeals Associate Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Norfolk, VA · On-site
$17 - $23.25/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Norfolk, VA · On-site
$17 - $23.25/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Metairie, LA · On-site
$15.75 - $21.75/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Metairie, LA · On-site
$15.75 - $21.75/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Norfolk, VA · On-site
$15 - $20.75/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Norfolk, VA · On-site
$15 - $20.75/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Miami, FL · On-site
$16.75 - $23/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Miami, FL · On-site
$16.75 - $23/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Nashville, TN · On-site
$17 - $23.25/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Nashville, TN · On-site
$17 - $23.25/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Atlanta, GA · On-site
$16.75 - $23/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Atlanta, GA · On-site
$16.75 - $23/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Leawood, KS · On-site
$17 - $23.25/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Leawood, KS · On-site
$17 - $23.25/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Indianapolis, IN · On-site
$16.75 - $23/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Indianapolis, IN · On-site
$16.75 - $23/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Grand Prairie, TX · On-site
$16.50 - $22.75/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Grand Prairie, TX · On-site
$16.50 - $22.75/hr
Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
$175K - $230K/yr
Appellate Associate Location: Tallahassee, FL Experience: 2-3 years Our client, an Am Law 200 full-service law firm, is seeking an Appellate Associate to join its statewide Appellate Practice Group.
Quick apply
$175K - $230K/yr
Appellate Associate Location: Tallahassee, FL Experience: 2-3 years Our client, an Am Law 200 full-service law firm, is seeking an Appellate Associate to join its statewide Appellate Practice Group.
Wilkes Barre, PA · On-site
$40K - $45K/yr
The Appeals Representative I plays a critical role in the healthcare and social assistance industry ... Associate's degree or higher preferred. * Basic knowledge of healthcare terminology, insurance ...
Quick apply
Wilkes Barre, PA · On-site
$40K - $45K/yr
The Appeals Representative I plays a critical role in the healthcare and social assistance industry ... Associate's degree or higher preferred. * Basic knowledge of healthcare terminology, insurance ...
Mount Laurel, NJ · On-site
$60K - $70K/yr
Care Options for Kids is hiring an Analyst of Authorization Appeal Management in our Revenue Cycle ... Care Options For Kids believes that associates should be provided with a working environment which ...
Mount Laurel, NJ · On-site
$60K - $70K/yr
Care Options for Kids is hiring an Analyst of Authorization Appeal Management in our Revenue Cycle ... Care Options For Kids believes that associates should be provided with a working environment which ...
$41.72 - $50.99/hr
... associates to appropriately adjudicate appeals. * In-depth knowledge of HCPCS, CPT, ICD-10, reject ... messaging, Modifiers and not otherwise classified (NOC) coding, all to validate billing and ...
$41.72 - $50.99/hr
... associates to appropriately adjudicate appeals. * In-depth knowledge of HCPCS, CPT, ICD-10, reject ... messaging, Modifiers and not otherwise classified (NOC) coding, all to validate billing and ...
Hingham, MA · On-site
$41.72 - $50.99/hr
... associates to appropriately adjudicate appeals. * In-depth knowledge of HCPCS, CPT, ICD-10, reject ... messaging, Modifiers and not otherwise classified (NOC) coding, all to validate billing and ...
Hingham, MA · On-site
$41.72 - $50.99/hr
... associates to appropriately adjudicate appeals. * In-depth knowledge of HCPCS, CPT, ICD-10, reject ... messaging, Modifiers and not otherwise classified (NOC) coding, all to validate billing and ...
East Hartford, CT · On-site
$21.75 - $27/hr
College degree (minimum of Associates) or equivalent work experience * 2+ years of grievance or appeals experience * Ability to effectively relate to a wide range of individuals from a diverse ...
East Hartford, CT · On-site
$21.75 - $27/hr
College degree (minimum of Associates) or equivalent work experience * 2+ years of grievance or appeals experience * Ability to effectively relate to a wide range of individuals from a diverse ...
$46K - $57.5K
2% of jobs
$57.5K - $69K
6% of jobs
$80K is the 25th percentile. Wages below this are outliers.
$69K - $80.5K
17% of jobs
$80.5K - $92K
15% of jobs
The median wage is $99K / yr.
$92K - $103.5K
15% of jobs
$103.5K - $115K
11% of jobs
$123.9K is the 75th percentile. Wages above this are outliers.
$115K - $126.5K
11% of jobs
$126.5K - $138K
9% of jobs
$138K - $149.5K
6% of jobs
$149.5K - $161K
5% of jobs
$161K - $172.5K
2% of jobs
$46K
$108.2K
$172.5K
| Criteria | Appeals Associate | Claims Processor |
|---|---|---|
| Required Credentials | High school diploma or equivalent; sometimes an associate degree; knowledge of insurance policies | High school diploma or equivalent; familiarity with claims processing systems |
| Work Environment | Office setting, often in insurance or healthcare companies | Office or remote, handling claims in insurance or healthcare sectors |
| Employer & Industry Usage | Insurance companies, healthcare providers, government agencies | Insurance companies, healthcare organizations, third-party administrators |
| Common Search & Comparison Intent | Understanding roles in appeals and claims processes | Differences in claims handling and processing tasks |
Appeals Associates focus on reviewing and resolving denied claims or appeals, requiring knowledge of policies and customer communication. Claims Processors handle the initial processing of claims, verifying information and entering data. Both roles are vital in insurance and healthcare industries but differ in their specific responsibilities and stages of claims management.

$21 - $26/hr
Full-time
Posted 6 days ago
Insurance Appeals Associate, Revenue Integrity and Utilization
Full Time, 80 Hours Per Pay Period, Day Shift
Knoxville, TN
Covenant Health Overview:
Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
This position has the responsibility of building patient accounts in the denials management system and performing timely follow-up with regard to clinical and medical necessity insurance appeals. Analyzes all correspondence regarding insurance denials for the Revenue Integrity Auditor to take appropriate action. Prepares necessary documentation for insurance appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as necessary. Maintains integrity of denials management database for accurate statistical and educational reporting. Provides feedback to Revenue Integrity Auditors and Patient Account Representatives as it relates to department operations.
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.
Minimum Experience:
Two (2) years of experience in hospital billing or insurance pre-certification required; Must be familiar with healthcare billing and insurance regulations such as those required by Medicare, Medicaid or Commercial payers. Computer experience is required.
Licensure Requirements:
None.