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Insurance Appeals Jobs in Virginia (NOW HIRING)

$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 ...

Processes Appeals (levels 1 and 2) and checks claim status via phone/payer website for all payer ... Insurance and Follow Up * Detailed oriented * Multi-Tasking * HB and PB Experience * Production ...

Processes Appeals (levels 1 and 2) and checks claim status via phone/payer website for all payer ... Insurance and Follow Up * Detailed oriented * Multi-Tasking * HB and PB Experience * Production ...

Immigration Attorney

Manassas, VA · On-site

$95K - $125K/yr

Dental insurance * Health insurance * Opportunity for advancement * Paid time off * Vision ... Appeals. Salary: $95,000-$125,000 depending on experience. About the Position: You will be ...

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 ...

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 ...

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 ...

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 ...

Inpatient Coder

Richmond, VA · On-site

$24.80 - $37.20/hr

The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Inpatient Coder

Richmond, VA · On-site +1

$20 - $24.25/hr

Write detailed appeal letters based on clinical findings to third party payers to prevent downgrade ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Inpatient Coder

Richmond, VA · On-site

$21.50 - $26/hr

The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Inpatient Coder

Richmond, VA · On-site +1

$20 - $24.25/hr

Write detailed appeal letters based on clinical findings to third party payers to prevent downgrade ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Showing results 21-40

Insurance Appeals information

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 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 cities in Virginia are hiring for Insurance Appeals jobs?

Cities in Virginia with the most Insurance Appeals job openings:

Infographic showing various Insurance Appeals job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution.

Billing & Insurance Follow-up Specialist - Physician Billing

Riverside Health System

Newport News, VA • On-site

$18.20 - $23.68/hr

Other

Re-posted 2 days ago


Job description

Newport News, Virginia
Hiring Range
$18.20 - $23.68/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
Overview
The Provider Insurance Follow-up Specialist is responsible for timely follow up of professional claims for all assigned provider practice locations. Works an assigned portion of AR and aging reports. Researches and writes appeals on denied accounts. Responds to billing claim inquiries and works to resolve any claim issues.
What you will do

  • Works assigned portion of Accounts Receivable (AR) and aging reports.
  • Follows up on professional claims and zero pay EOBs for assigned provider practice locations to obtain payment.
  • Researches and writes appeals on denied accounts within department guidelines. Resubmits applicable claims within required timeframe.
  • Responds and resolves insurance company requests for information and works to identify issues and bring to management's attention. Resolves patient inquiries and complaints.
Qualifications
Education
  • High School Diploma or GED, (Required)
  • Bachelors Degree, or greater will count as 1 year of additional experience (Preferred)
Experience
  • 2 years Revenue Cycle experience (Required)
Licenses and Certifications
  • CRCR - Healthcare Financial Management Association (HFMA) (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.