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Insurance Appeals Jobs in Virginia (NOW HIRING)

VSI

Insurance Authorization Specialist

Reston, VA · On-site

$19 - $25.25/hr

  • Retirement

  • PTO

Familiarity in navigating the appeals process with insurances and external agencies * Solution oriented problem solver, helpful and strong organizational skills * Strong multitasking ability; detail ...

Riverside Health System Non-Providers

$18.20 - $23.68/hr

Researches and writes appeals on denied accounts. Responds to billing claim inquiries and works to ... Responds and resolves insurance company requests for information and works to identify issues and ...

Riverside

$18.20 - $23.68/hr

Researches and writes appeals on denied accounts. Responds to billing claim inquiries and works to ... Responds and resolves insurance company requests for information and works to identify issues and ...

FCCI Insurance Group

Associate Underwriter - E&S

Glen Allen, VA · On-site

$24.80 - $38.19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

FCCI empowers it's teammates to deliver commercial insurance products and services so businesses can thrive and face the future with confidence. If our mission statement appeals to you, come and be a ...

Immigrants First PLLC

Senior Immigration Attorney

Manassas, VA · On-site

$110K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Health insurance * Opportunity for advancement * Paid time off * Parental leave * Profit sharing ... Appeals, the federal district courts, and the Fourth Circuit Court of Appeals. Salary: $110,000 ...

Immigrants First PLLC

Immigration Attorney

Manassas, VA · On-site

$80K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Health insurance * Opportunity for advancement * Paid time off * Parental leave * Profit sharing ... of Immigration Appeals, the federal district courts, and the Fourth Circuit Court of Appeals.

ARM Consulting

Reimbursement Specialist

Fort Belvoir, VA · On-site

$21.75 - $30/hr

Analyze patient insurance coverage including: * * Commercial insurance * * Medicare Part B ... Appeals & Denial Resolution Support * * Review payer denial information and identifyappropriate ...

ARM Consulting

Reimbursement Specialist

Fort Belvoir, VA · On-site

$21.75 - $30/hr

Analyze patient insurance coverage including: * * Commercial insurance * * Medicare Part B ... Appeals & Denial Resolution Support * * Review payer denial information and identify appropriate ...

Riverside Health System Non-Providers

$17.50 - $22.75/hr

Responds to insurance company requests for information. * May research and write appeals on denied accounts. * May enter ancillary charges. Qualifications Education * High School Diploma or GED ...

Riverside

$17.50 - $22.75/hr

Responds to insurance company requests for information. * May research and write appeals on denied accounts. * May enter ancillary charges. Qualifications Education * High School Diploma or GED ...

Deloitte

Epic Denials Management Operator

Richmond, VA · Remote

$17.75 - $23.75/hr

Use appropriate templates to develop denial appeal letters for denials and submit to third party payers. Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...

Deloitte

Epic Denials Management Operator

Rosslyn, VA · Remote

$20.50 - $27.25/hr

Use appropriate templates to develop denial appeal letters for denials and submit to third party payers. Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...

Deloitte

Epic Denials Management Operator

Mclean, VA · Remote

$18.25 - $24.25/hr

Use appropriate templates to develop denial appeal letters for denials and submit to third party payers. Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...

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All JobsInsurance Appeals JobsInsurance Appeals Jobs in Virginia

Insurance Appeals information

What are the key skills and qualifications needed to thrive in insurance appeals?

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.
What are popular job titles related to Insurance Appeals jobs in Virginia? For Insurance Appeals jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Appeals jobs in Virginia look for? The top searched job categories for Insurance Appeals jobs in Virginia are:
What cities in Virginia are hiring for Insurance Appeals jobs? Cities in Virginia with the most Insurance Appeals job openings:
Insurance Appeals jobs near you
Infographic showing various Insurance Appeals job openings in Virginia as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 87% In-person, 4% Hybrid, and 9% Remote job distribution.

Insurance Authorization Specialist

VSI

Reston, VA • On-site

$19 - $25.25/hr

Full-time

Retirement, PTO

Re-posted 6 days ago

Job description

VSI (formerly the Virginia Spine Institute), the leading multidisciplinary spinal healthcare practice in the Washington D.C. metropolitan area, is seeking an Insurance Authorization Specialist to join our team. This role is responsible for obtaining prior authorization for various medical procedures, services, and medications.


This is a full-time position working out of our Reston office. The position offers competitive pay, full benefits, 401k plan with a Company match, and three weeks of paid time off. The ideal candidate will have exceptional customer service skills and phone etiquette. 


Duties & Responsibilities

  • Responsible for facilitating prior authorization for a variety of services (surgery, injections, medications, imaging, etc.) in a timely manner and working efficiently to facilitate a final approval.
  • Ensures all pertinent medical documentation is accurate and complete prior to authorization submission.
  • Coordinates with workers' compensation case managers to streamline authorizations for care
  • Tracks and monitors prior authorization status throughout the insurance approval process.
  • Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior authorization requirements. 
  • Coordinates with clinical staff during the prior authorization process to include notification of prior authorization approvals and denials in addition to facilitating appeals and peer-to-peer reviews with the payer.
  • Responsible for insurance benefits verification.
  • Works directly with the Director of Billing to identify trends in denials and opportunities for improvement in the authorization process.
  • Provides superior customer service when communicating with patients to resolve all inquiries regarding insurance authorization requirements.


Skills/Qualifications/Behaviors:

  • Bachelors degree in business or related field
  • 1-3 years of billing or authorization experience in the healthcare industry
  • Familiarity in navigating the appeals process with insurances and external agencies
  • Solution oriented problem solver, helpful and strong organizational skills
  • Strong multitasking ability; detail oriented
  • Proficient with oral and written communication, articulate, professional and friendly