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Appeals Coordinator Jobs (NOW HIRING)

Integrated Resources INC

Appeals Coordinator

Orange, CA

$23.50 - $29/hr

Appeals Coordinator Duration: 6 + months contract to hire position. Location: San Diego CA 92108 Requirements/Certifications: HS/GED. 1-2 years of appeals/claims/scheduling or coordination experience ...

Calvert Health System

APPEALS COORDINATOR

Prince Frederick, MD · On-site

$23 - $28.75/hr

The Appeals Coordinator will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG) or InterQual guidelines, determine the viability of the appeal, and manage the ...

Ourhrconnect

Appeals Coordinator

Columbia, SC

$20.25 - $25.25/hr

An Appeals Coordinator is responsible for maintaining the proper flow of the request for appeals. Logistics :Palmetto GBA-one of BlueCross BlueShield's South Carolina subsidiary companies. Location:

New

State of Maryland

APPEALS COORDINATOR

Baltimore, MD · On-site

$67K - $87K/yr

This position coordinates all appeals and ensures Program staff adheres to procedural requirements of the appeals process. This position requires detailed program knowledge of the functions of the ...

WVU Medicine

Clinical Appeals Coordinator

$22.50 - $28/hr

The Clinical Appeals Coordinator is a collaborative member of the Medical Management team. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current Registered Nurse license ...

Peak Health

Clinical Appeals Coordinator

$22.50 - $28/hr

The Clinical Appeals Coordinator is a collaborative member of the Medical Management team. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current Registered Nurse license ...

New

Independence Blue Cross

Clinical Appeals Coord

$22.50 - $28/hr

Position Summary The Clinical Appeals Coordinator, RN is responsible for supporting the end-to-end processing of clinical appeals, including medical necessity, benefit, pharmacy, behavioral health ...

Temple Health

Appeals Coordinator

Philadelphia, PA · On-site

$22.25 - $27.50/hr

Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process. Education Other Graduate of an accredited school of nursing Required ...

Temple University

Appeals Coordinator

Philadelphia, PA · On-site

$22.25 - $27.50/hr

Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process. Education Other Graduate of an accredited school of nursing Required ...

tnhealth

Grievances and Appeals Coordinator

Franklin, TN

$21.75 - $27/hr

The Grievances and Appeals Coordinator processes, tracks and follows up on all medical necessity and administrative denials and appeals for Medicare Advantage members in accordance with Medicare ...

tnhealth

Grievances and Appeals Coordinator

Franklin, TN · On-site

$21.75 - $27/hr

The Grievances and Appeals Coordinator processes, tracks and follows up on all medical necessity and administrative denials and appeals for Medicare Advantage members in accordance with Medicare ...

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How much do appeals coordinator jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for appeals coordinator in the United States is $24.98, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $26.20 per hour, depending on experience, location, and employer.

What are the most common challenges faced by appeals coordinators when managing multiple cases simultaneously?

Appeals Coordinators often juggle numerous cases at once, which can make prioritization and time management challenging. Balancing deadlines, ensuring accurate documentation, and communicating effectively with insurance companies, providers, and patients requires strong organizational skills. Staying updated on changing regulations and payer requirements is also essential. Many coordinators find that developing efficient workflows and leveraging team support helps them manage these competing demands successfully.

What is an appeals coordinator?

An Appeals Coordinator is a professional who manages and oversees the appeals process in healthcare, insurance, or other industries where decisions can be contested. They review denied claims or decisions, gather necessary documentation, and communicate with patients, providers, or clients to ensure that appeals are processed efficiently and accurately. Appeals Coordinators also track outcomes, maintain records, and help ensure compliance with regulations and organizational policies. Their work is essential to ensuring fairness and transparency in decision-making processes.

Is care coordination a stressful job?

Care coordination roles, such as Appeals Coordinators, can be stressful due to managing complex cases, strict deadlines, and the need for attention to detail. The job often requires strong organizational skills and the ability to handle high-pressure situations, but stress levels vary depending on workload and work environment.

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

To thrive as an Appeals Coordinator, you need a solid understanding of healthcare regulations, insurance claims processes, and strong organizational skills, often supported by a degree in healthcare administration or a related field. Familiarity with claims management systems, medical terminology, and sometimes certification such as Certified Professional Coder (CPC) is typically required. Strong attention to detail, effective communication, and problem-solving abilities are essential soft skills for resolving complex cases and collaborating with stakeholders. These skills ensure timely and accurate processing of appeals, helping organizations maintain compliance and achieve positive outcomes for patients and providers.

What does an appeals coordinator do?

As an appeals coordinator, you investigate and resolve complex patient and insurance provider complaints related to enrollment and claims, provider payment disputes, medical appeals, and reversals within the health care industry. Your duties include reviewing clinical information for appeals using nationally recognized criteria to determine the need for requested services. You then prepare a review of cases that do not meet the criteria. You gather, analyze, and report all information about the appeals. Further duties include writing accurate letters and other client-facing communications as well as scheduling and running the appeals meeting. Other responsibilities include conducting outreach to find out appeal statuses, determinations, and explanations, along with ensuring accuracy while communicating with members, providers, and customers. You often educate providers, members, attorneys, and others involved in the appeals process. You are in charge of some administrative tasks such as settling billing issues and maintaining files on appeals.

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Appeals Coordinator jobs near you
Infographic showing various Appeals Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $51,963 per year, or $25 per hour.

Appeals Coordinator

Integrated Resources INC

Orange, CA

$23.50 - $29/hr

Contractor

Re-posted 18 hours ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

JOB Title: Appeals Coordinator

Duration: 6 + months contract to hire position.
Location: San Diego CA 92108

Requirements/Certifications:

HS/GED.

1-2 years of appeals/claims/scheduling or coordination experience (a plus if all 3).

Managed Care experience is a PLUS.

Schedule: Monday-Friday 8:30AM - 5:00PM PST.

6 month contract with possibility of conversion depending upon performance.

JOB SUMMARY:

Responsible for processing and recording appeals and/or provider disputes as well as coordinating scheduling with internal and external PA reviewers for determinations and appeals. Provides high level of accuracy and quality in produced materials and interactions with members and providers.

ESSENTIAL FUNCTIONS:

Maintain a caseload of appeals, non-authorizations, provider disputes and/or PA review scheduling as assigned- Process appeals, non-authorizations and provider disputes according to policies, work flows

Document process and findings within database

Contact and respond to members and providers within required timeframes as required by contracts, regulations and standards.

Prepare written materials following policies and procedures for notification and tracking purposes of appeals, provider disputes and PA review scheduling.

Identify risk areas and reports such to unit manager

Consult with manager on problem cases and interfaces with unit staff in data obtainment and resolution.

Prepare and present information on non-authorizations, appeals and provider disputes to external review organizations and customers.

Assist in data gathering and reporting of non-authorizations, appeals and provider disputes.

Contribute to CMC/Client's office and department CQI processes by participating in unit goal setting, scorecard development and departmental meetings.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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