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Appeals Intake Jobs (NOW HIRING)

Reliant

OR

Works with appeals intake specialist to ensure process documents remain current * Responsible for identifying opportunities for enhancement either through automation or process changes that increase ...

Independence Blue Cross

Supervisor Appeals

Philadelphia, PA · On-site

$22.25 - $27.50/hr

Ensures timely and accurate execution of all appeal-related activities, including intake, triage, case creation, tracking, letter generation, and documentation within business systems. * Provides ...

Specialty Care Rx

Intake Specialist

Walnut, CA · On-site

$18.50 - $24.75/hr

Assists the entire intake process from taking referrals and verifying insurance to obtaining ... appeals letters based off of specific denial reason and patient's clinical presentation and ...

Synkriom

Be Seen First

Grievance & Appeals Coordinator Bilingual English/Spanish must

Rancho Cucamonga, CA · On-site

$20 - $24/hr

Support investigations and case intake activities as assigned. * Communicate with members and ... appeals, or regulatory compliance experience preferred. Company Description Founded in 2015 and ...

Robert Half

CW Appeals Specialist

Mountlake Terrace, WA · Remote

$21 - $21.50/hr

In this role, you will support the review, intake, research, and processing of healthcare-related appeals and inquiries while ensuring accuracy, quality, and compliance with established guidelines.

Instant Serve LLC

Courtroom Assistant

Colorado Springs, CO · On-site

$28.84/hr

Manage appeals intake and filing: prepare and file court records with District Court, meet filing deadlines, and monitor appeal status. Jury Commissioner duties (as assigned): summon jurors, manage ...

New

Pride Global

Data Intake Specialist

Pearland, TX · On-site

$12 - $13/hr

Job Name: Data Intake Specialist Contract type: Local Contract Location: Pearland, TX 77584 ... Appeals and Grievances Management: Handling incoming requests. * Compliance: Ensuring compliance ...

PRIDE Healthcare

Data Intake Specialist

Pearland, TX · On-site

$12 - $13/hr

Job Name: Data Intake Specialist Contract type: Local Contract Location: Pearland, TX 77584 ... Appeals and Grievances Management: Handling incoming requests. * Compliance: Ensuring compliance ...

Applied ABC

Intake Coordinator (ABA)

Hollywood, FL

$16.50 - $22.50/hr

... and appeals to ensure compliance and optimize approval outcomes · Uphold HIPAA standards and ... intake and insurance process · Collaborate cross-functionally to resolve issues, streamline ...

Douglass & Runger

Intake Specialist

Bartlett, TN

$19 - $22/hr

If these statements appeal to you, then you may be our next Intake Specialist: - You are empathetic, patient and love speaking with people from all different walks of life. - You smile when talking ...

Douglass & Runger

Intake Specialist

Arlington, TN · On-site

$19 - $22/hr

If these statements appeal to you, then you may be our next Intake Specialist: * You are empathetic, patient and love speaking with people from all different walks of life. * You smile when talking ...

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How much do appeals intake jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for appeals intake in the United States is $20.81, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $22.84 per hour, depending on experience, location, and employer.
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Appeals Intake jobs near you

Senior Appeals Specialist - Workers' Compensation

Reliant

OR

Other

Posted 9 days ago

Job description

As a Senior Appeals Specialist - Workers' Compensation, you will play a critical role in resolving post-payment disputes related to Workers' Compensation bills. This includes conducting provider outreach, negotiating disputed charges, and ensuring compliance with state-specific regulations. Your work will directly support our cost containment efforts and ensure appropriate bill reimbursement for our clients.

Primary Responsibilities

  • Manage a caseload of post-payment Workers' Compensation bills, including those related to state disputes and usual and customary rate (UCR) disputes.
  • Assigned high priority clients in managing all items related to the service with Reliant
  • Conduct proactive outreach to medical providers to explain payment methodologies, resolve disputes, and negotiate reductions on appealed or outlier bills.
  • Communicate effectively and professionally with clients to coordinate and investigate information as it relates to the case/appeal.
  • Educate providers on Workers' Compensation billing and reimbursement policies and regulatory requirements.
  • Document all provider communications thoroughly, including contact information, bill details, proposed and counter-offered payment rates, and final resolution in claim platform.
  • Adhere to state-specific compliance standards and confidentiality requirements, including HIPAA.
  • Maintain productivity and quality standards, ensuring timely resolution of bills in accordance with state timelines and internal service level agreements.
  • Follow client-specific protocols and internal Reliant procedures, including scripting and documentation guidelines.
  • Stay current on Workers' Compensation regulatory changes, fee schedules, and payment policies across multiple states.
  • Support special projects and perform additional duties as assigned.
  • Responsible for training team members both upon hire and for existing team members.
  • Responsible for overseeing all DWD handling and state dispute referrals to attorneys.
  • First line for all support with questions from other team members.
  • Backup for other team members and/or senior leadership
  • Works with appeals intake specialist to ensure process documents remain current
  • Responsible for identifying opportunities for enhancement either through automation or process changes that increase efficiency for the team
  • Responsible for team goals and ensuring that individuals meet their personal goals

Qualifications

  • 5 years of relevant experience in Workers' Compensation bills, medical billing, medical coding, or insurance negotiations.
  • Strong understanding of Workers' Compensation reimbursement methodologies, state regulations, and provider billing practices.
  • Experience negotiating medical bill payments or adjustments with providers.
  • Ability to collaborate with a variety of individuals both internally and externally.
  • Familiarity with claims processing systems and provider communications.
  • Excellent communication, negotiation, and organizational skills.
  • Requires communication proficiency, discretion, ethical conduct, decision making and technical skills

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