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Appeals Coordinator Jobs (NOW HIRING)

Integrated Resources INC

Appeals Coordinator

Orange, CA · On-site

$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 ...

Ourhrconnect

Appeals Coordinator

Columbia, SC · On-site

$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:

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 ...

Wvumedicine

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 ...

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 ...

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

$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 25, 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 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.

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.

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 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.
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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, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $51,963 per year, or $25 per hour.

APPEALS COORDINATOR

Prince Frederick, MD • On-site

Calvert Health System
See more jobs at Calvert Health Systemexternal

$23 - $28.75/hr

Part-time

This job post has expired 5 days ago. Applications are no longer accepted.

Job description

  • JOB DESCRIPTION DETAILS
    • Job Summary:
      • Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. 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 appeal process. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials. Working with department leaders, this individual will coordinate education and other performance improvement initiatives to mitigate lost revenue related to medical necessity denials. Key Performance and trends related to denials/appeals will be reported to the facility.
    • Education:
      • Position requires a Bachelor's degree and Registered Nurse Licensure.
    • Registration/Certification/Licensure:
      • State Registered Nurse Licensure
    • Experience:
      • Minimum 3+ year's experience in Utilization Review and/or Case Management, and 3 years in a clinical setting.
    • Other Requirements:
      • Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
      • Intermediate skill level on the computer: Office Products including Word, Excel, and PowerPoint.
      • Demonstrates skills in planning, organizing, and managing multiple functions and complex processes.
      • Competent in Joint Commission Standards, Federal and State requirements relating to required documentation for the electronic health record to maintain compliance.
      • Knowledge of revenue cycle operations including state and federal reimbursement policies

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