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Appeals Jobs (NOW HIRING)

Viva Health

Provider Appeals Coordinator

Birmingham, AL · On-site

$20.75 - $25.50/hr

Provider Appeals Coordinator Location: Birmingham, AL Work Schedule: Hybrid schedule with regular onsite presence at the VIVA HEALTH corporate office and some work-from-home opportunities. Why VIVA ...

VIVA Health

Provider Appeals Coordinator

Birmingham, AL · On-site

$20.75 - $25.50/hr

Provider Appeals Coordinator Location: Birmingham, AL Work Schedule: Hybrid schedule with regular onsite presence at the VIVA HEALTH corporate office and some work-from-home opportunities. Why VIVA ...

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 ...

Ourhrconnect

Appeals Coordinator

Columbia, SC · On-site

$20.25 - $25.25/hr

Summary Responsible for maintaining the proper flow of the request for appeals. Description Logistics: Palmetto GBA - a BlueCross BlueShield of South Carolina subsidiary company.Please submit your ...

RemX

Appeals Representative

Beverly Hills, CA · On-site

$17 - $18/hr

Medical Billing Appeals Representative 📍 Office-Based Role | Full-Time Are you detail-driven with a passion for solving complex billing issues? Join our team as a Medical Billing Appeals ...

ProKatchers

Denial Appeals Specialist

Dallas, TX

Denial Appeals Specialist Location : Dallas, TX Duration ; 6+ Months Education : High School Diploma or GED required Shift Details : Days Shift General Description: Look for candidates that have more ...

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 ...

MedReview

Appeals Specialist II

Manhattan, NY · Remote

The Appeals Specialist level II performs research, investigation, and analysis of appeals, grievances, and other types of complaints filed by providers and clients to administer timely resolution.

UHS

Appeals Specialist

Richmond, VA · On-site

The Appeals Specialist is responsible for the resolution of all appeals relating to technical issues identified during the billing of claims and the follow-up on the clinical appeals performed by the ...

BronxCare Health System

Appeals Manager

Bronx, NY

$23 - $28.25/hr

Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to patients ...

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How much do appeals jobs pay per year?

As of Jun 1, 2026, the average yearly pay for appeals in the United States is $86,480.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $98,500.00 per year, depending on experience, location, and employer.

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

To thrive as an Appeals Specialist, you need a solid understanding of insurance claims processes, healthcare regulations, and strong analytical skills, usually supported by a relevant degree or experience in medical billing or coding. Familiarity with claims management software, electronic health record (EHR) systems, and knowledge of payer-specific guidelines are essential. Attention to detail, persistence, and effective written and verbal communication skills help resolve complex cases and advocate for patients or organizations. These skills ensure timely and accurate resolution of denied claims, maximizing reimbursements and maintaining compliance with industry standards.

What are the main challenges faced by professionals working in appeals, and how can they best navigate them?

Appeals professionals often encounter complex regulations, tight deadlines, and emotionally charged interactions with clients or stakeholders. Navigating these challenges requires strong organizational skills, attention to detail, and the ability to interpret legal or policy documents accurately. Effective communication and collaboration with legal teams, case managers, or external agencies are also essential for building persuasive cases. Staying updated on relevant laws and procedural changes can help appeals specialists advocate successfully and reduce the risk of errors.

What are 'Appeals' jobs?

Appeals jobs involve handling requests to review and potentially overturn previous decisions, often in legal, insurance, healthcare, or government settings. Professionals in this field review cases, gather and analyze evidence, and ensure that appeals processes follow established policies and regulations. They may interact with clients, legal representatives, or regulatory bodies to resolve disputes or clarify decisions. Appeals specialists play a crucial role in ensuring fairness and compliance within their organizations.

What is the difference between Appeals vs Dispute Resolution Specialist?

AspectAppealsDispute Resolution Specialist
CredentialsTypically requires knowledge of appeals processes, legal or administrative certificationsRequires certifications in conflict resolution, negotiation, or mediation
Work EnvironmentOften in government agencies, healthcare, or insurance sectorsCommonly in legal firms, corporate settings, or mediation centers
Employer & IndustryPublic sector, healthcare, insuranceLegal, corporate, consulting
Search & Comparison IntentUnderstanding appeals procedures, filing appealsResolving disputes, mediating conflicts

While both roles involve conflict resolution, Appeals specialists focus on managing formal appeal processes within organizations or agencies, whereas Dispute Resolution Specialists handle broader conflict mediation and negotiation. The roles overlap in conflict management but differ in scope and setting.

More about Appeals jobs
What cities are hiring for Appeals jobs? Cities with the most Appeals job openings:
What are the most commonly searched types of Appeals jobs? The most popular types of Appeals jobs are:
What states have the most Appeals jobs? States with the most job openings for Appeals jobs include:
Appeals jobs near you
Provider Appeals Coordinator

Provider Appeals Coordinator

Viva Health

Birmingham, AL • On-site

$20.75 - $25.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Viva Health rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

130th of 259 rated insurance

Job description

Provider Appeals Coordinator
Location: Birmingham, AL
Work Schedule: Hybrid schedule with regular onsite presence at the VIVA HEALTH corporate office and some work-from-home opportunities.
Why VIVA HEALTH?
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan, receiving a 5 out of 5 Star rating - the highest rating a Medicare Advantage Plan can achieve and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Benefits
  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits
Job Description
The Provider Appeals Coordinator is responsible for processing written provider appeals for participating VIVA HEALTH and VIVA Medicare Plus providers as well as non-participating providers for commercial plan members. This position assists with and participates in meetings of the Provider Appeals Committee. This position is responsible for documenting the end-results of the appeals process.
Key Responsibilities
  • Review written appeals upon receipt. Forward non-par Medicare appeals to the Medicare Member Appeals and Grievances department.
  • Research provider appeals and present findings in a concise manner to the Provider Appeals Committee.
  • Effectuate the Committee's decisions with regard to claims reprocessing or provider outreach.
  • Maintain an accurate log of all incoming provider appeals and work efficiently to close cases accurately and within required time frames.

REQUIRED:
  • High School Diploma or GED
  • 1+ years' experience working for a managed care company/health plan in customer service, claims, or appeals
  • Excellent written and oral communication skills are essential
  • Proficient in standard office software (Excel, Word, Access)
  • Ability to perform tasks with little supervision
  • Basic computer skills

PREFERRED:
  • Some college
  • 1+ years' experience with DST system
  • Experience in the managed healthcare industry
  • Advanced computer skills

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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