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Insurance Appeals Jobs in Indiana (NOW HIRING)

Remote Medical Biller

Mishawaka, IN ยท Remote

$16.75 - $21.50/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables ...

Remote Medical Biller

South Bend, IN ยท Remote

$18 - $23/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables ...

Remote Medical Biller

Plymouth, IN ยท Remote

$16.50 - $21.25/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables ...

Managing accounts receivable including appeals. * Liaison between our patients and clients as well our portable dental teams in the field. Insurance Coordinator Job Requirements: * Insurance ...

Claims Reimbursement Rep (BHS)

Granger, IN ยท On-site

$16.25 - $21.50/hr

Investigate denial and appeal issues and past-due appealed insurance claims. Acts as a liaison with Managers, and insurance representatives to validate and correct information as well as consult with ...

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Insurance Appeals information

What are the key skills and qualifications needed to thrive in Insurance Appeals, and why are they important?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an Insurance Appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.
Infographic showing various Insurance Appeals job openings in Indiana as of July 2026, with employment types broken down into 22% Locum Tenens, 67% Full Time, 8% Part Time, 2% Contract, and 1% Summer. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution.

$125K/yr

Other

Posted 15 days ago


Job description

WHAT IS THE APPEALS DIVISION?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • Appeals - Specialized Exam Prog and Ref
  • This job (or announcement) is open to current permanent IRS competitive service employees in the Appeals business unit.

REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by the closing date of this announcement.
SPECIALIZED EXPERIENCE:
You must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the next lower level within the payband or GS grade in the normal line of progression in the Federal service that demonstrates the required managerial skills and technical competence required to perform the job. To be qualifying for this position your experience must include:

  • Experience that demonstrated management/leadership experience such as applying management techniques, methods, theories, principles, or labor relations concepts for the accomplishment of all program objectives with combined technical and administrative oversight. This experience may have been gained through work experience as a project/program manager, team lead or project/program lead, technical advisor, or senior specialist/analyst that included managing resources, providing support to managers, mentoring team members, providing day to day guidance training and/or oversight of peers or others.
  • Experience applying regulations, other official guidance and principles, including the latest procedures and techniques sufficient to oversee the planning, development and implementation of the technical aspects of programs specific to the position being filled.
  • Experience applying communicative techniques to effectively and diplomatically interact with internal and external customers.
  • Applying the Internal Revenue Code and related rulings, regulations, and court decisions to income tax issues, tax shelters, and/or penalties to review the Appeals Case Memorandums (ACM) and develop settlements on unique and unprecedented tax issues.
  • Working experience in considering tax implications of transactions involving financial instruments (such as stocks, bonds, and options) or financial products (such as mutual funds, insurance policies, retirement accounts, and mortgage products).
  • Applying Appeals Dispute Resolution (ADR) techniques to negotiate mutually agreed settlements expeditiously.
  • Applying analytical methods and techniques to conduct legal research, making decisions involving matters of fact and law, and evaluating the strength of the litigating position of contesting parties.
  • Exercising responsibility in dealing with officials of other business units, such as Large Business & International (LB&I), Small Business/Self Employed (SB/SE), and Chief Counsel, on strategic tax issues and compliance initiatives.
AND
You must also meet the following requirement(s):
  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens"

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER