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Appeals Processor Jobs (NOW HIRING)

Billing Appeals Specialist

Pittsburgh, PA ยท On-site

$36.54 - $42.66/hr

Manages the appeals process for insurance carriers' invoices including * Drafting narratives for attorney approval to optimize the rate of appeal successes, * Managing deadlines for all appeals to ...

New

Manages the appeals process for insurance carriers' invoices including * Drafting narratives for attorney approval to optimize the rate of appeal successes, * Managing deadlines for all appeals to ...

New

Billing Appeals Specialist

Harrison, NY ยท On-site

$36.54 - $42.66/hr

Manages the appeals process for insurance carriers' invoices including * Drafting narratives for attorney approval to optimize the rate of appeal successes, * Managing deadlines for all appeals to ...

Leverage experience with hospital acute care payer contracts to support claim resolution and appeals processes. This opportunity offers the following: * Challenging and rewarding work environment

Appeals Coordinator

Philadelphia, PA

$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 ...

Leverage experience with hospital acute care payer contracts to support claim resolution and appeals processes. This opportunity offers the following: * Challenging and rewarding work environment

Leverage experience with hospital acute care payer contracts to support claim resolution and appeals processes. This opportunity offers the following: * Challenging and rewarding work environment

Appeals Representative II

Fort Worth, TX ยท On-site

$20.08 - $30.06/hr

Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents * Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy ...

Appeals Representative II

Fort Worth, TX ยท Remote

$20.08 - $30.06/hr

Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents * Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy ...

Showing results 21-40

Appeals Processor information

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How much do appeals processor jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for appeals processor in the United States is $17.99, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.71 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an appeals processor?

To thrive as an Appeals Processor, you need strong analytical abilities, attention to detail, and familiarity with insurance or healthcare claims processes, often supported by relevant experience or a background in healthcare administration. Proficiency with claims management software, electronic health record (EHR) systems, and knowledge of regulatory guidelines such as HIPAA are typically required. Excellent communication, problem-solving skills, and the ability to manage time effectively help you interact with claimants and work efficiently under deadlines. These skills ensure accurate, timely processing of appeals and compliance with industry standards, directly impacting customer satisfaction and organizational success.

What is the difference between Appeals Processor vs Claims Adjuster?

AspectAppeals ProcessorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma or equivalent; insurance licenses often preferred
Work EnvironmentOffice setting, handling appeals cases and documentationOffice or field setting, investigating and evaluating insurance claims
Industry UsageUsed mainly in insurance companies, government agenciesCommon in insurance companies, healthcare, and auto industries
Search & Comparison IntentPeople comparing roles related to insurance appeals and processingPeople comparing roles involving claim evaluation and adjustment

Appeals Processors focus on reviewing and processing appeals related to denied claims, ensuring compliance and accuracy. Claims Adjusters evaluate insurance claims, investigate damages, and determine payouts. While both roles work within the insurance industry and require similar credentials, Appeals Processors handle appeals cases specifically, whereas Claims Adjusters handle the initial claim assessment and settlement process.

What does an appeals processor do?

An Appeals Processor is responsible for reviewing, analyzing, and making determinations on appeals submitted by clients or claimants, often in the context of insurance, healthcare, or government benefits. They examine supporting documentation, apply relevant policies and regulations, and communicate decisions to all parties involved. Appeals Processors ensure that all appeals are handled fairly, accurately, and within specified timeframes, often acting as a liaison between claimants and organizations.

What are some common challenges faced by appeals processors, and how can they be effectively managed?

Appeals Processors often encounter challenges such as handling high volumes of complex cases, interpreting regulatory guidelines, and meeting strict deadlines. To manage these effectively, it's important to develop strong organizational skills, stay updated on policy changes, and maintain clear communication with other departments like claims and customer service. Many successful Appeals Processors also rely on checklists and workflow tools to ensure accuracy and efficiency, especially when reviewing sensitive or time-critical appeals.

Is claims processing a stressful job?

Claims processing as an appeals processor can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating complex cases. The role often requires strong attention to detail, communication skills, and the ability to handle sensitive information under pressure.
More about Appeals Processor jobs
Infographic showing various Appeals Processor job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $37,422 per year, or $18 per hour.

Billing Appeals Specialist

Ogletree Deakins

Pittsburgh, PA โ€ข On-site

$36.54 - $42.66/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


Job description

Focused on employment and labor law since 1958, Jackson Lewis P.C.'s 1,000+ attorneys located in major cities nationwide consistently identify and respond to new ways workplace law intersects business. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.

The Firm is ranked in the First Tier nationally in the category of Labor and Employment Litigation, as well as in both Employment Law and Labor Law on behalf of Management, in the U.S. News - Best Lawyers "Best Law Firms".

Job Summary

The Billing Appeals Specialist will represent the accounting department and work as a key member of the appeals team while providing full-service support to attorneys on all appeal questions. With limited supervision, the Specialist will liaise with attorneys and staff to make sure appeals are submitted accurately and in a timely manner, while partnering with billing to fully understand the details and make sure best practices and billing guidelines are followed.

Duties and Responsibilities:

  • Manages the appeals process for insurance carriers' invoices including
    • Drafting narratives for attorney approval to optimize the rate of appeal successes,
    • Managing deadlines for all appeals to ensure maximum recovery from clients,
    • Sending all exception reports and timely follow up reminders for appeal language wherever needed,
    • Maintaining an appeal log to monitor the status of invoices and outstanding accounts receivables.
  • Communicate on behalf of the Finance Department to in-house attorneys and answer questions regarding invoice issues and other aspects of the appeal process.
  • Collaborates with Appeals Team, Appeals Manager, and Billing & Collections to identify opportunities to decrease reductions with the Outside Counsel Guidelines and keeps informed of changes to insurance carriers' Outside Counsel Guidelines, assessing the impact of these changes on existing processes and procedures.
  • Participates in process improvement including evaluating the Firms current protocols via addressing questions and issues arising in normal day activities. Identify opportunities for process improvements as well as enhancements to current training to prevent future issues.
  • Promote a high level of customer service; ensure excellent service is provided to the firm's Principals and clients on both an individual and team basis.

Skills and Educational Requirements:

  • Bachelor's degree Required
  • 2+ years of legal billing/appeals experience.
  • Knowledge of Aderant and BillBlast a plus.
  • Strong MS Office skills (Excel, Word).
  • Highly Organized.
  • Excellent communication and problem-solving skills.
  • Ability to learn and adapt in an ever-changing environment.

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For Westchester County, NY the expected salary range for this position is between $36.54 and$42.66. The actual compensation will be determined based on experienceand other factors permitted by law.

For Albany, NY the expected salary range for this position is between $30.41 and$35.50. The actual compensation will be determined based on experienceand other factors permitted by law.

For Illinois the expected salary range for this position is between $33.41 and$39.00. The actual compensation will be determined based on experienceand other factors permitted by law.

Jackson Lewis offers a competitive benefits package that includes:

Medical, dental, vision, life and disability insurance 401(k) Retirement Plan Flexible Spending and Health Savings Account Firm-paid holidays, vacation and sick time Employee assistance program and other firm benefits

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other characteristics protected by law.