ZipRecruiter

Log In

1

Insurance Appeals Jobs in Virginia (NOW HIRING)

StrideCare

RCM Supervisor

Henrico, VA

... insurance * Exposure to payment posting and charge entry * Proficiency in EHR/PM systems (e.g., eClinicalWorks, NextGen, Athena, etc.) * Strong understanding of denial codes (CARC/RARC) and appeals ...

StrideCare

RCM Supervisor

Henrico, VA · On-site

... insurance * Exposure to payment posting and charge entry * Proficiency in EHR/PM systems (e.g., eClinicalWorks, NextGen, Athena, etc.) * Strong understanding of denial codes (CARC/RARC) and appeals ...

StrideCare

RCM Supervisor

Henrico, VA · On-site

$65K/yr

... insurance * Exposure to payment posting and charge entry * Proficiency in EHR/PM systems (e.g., eClinicalWorks, NextGen, Athena, etc.) * Strong understanding of denial codes (CARC/RARC) and appeals ...

Summit BHC

Utilization Specialist

Williamsburg, VA · On-site

$60 - $80/hr

Communicates effectively with insurance companies, health maintenance organization (HMOs) and other ... Initiates, coordinates, and monitors the appeal process. Provides information to physicians to ...

Summit BHC

Utilization Specialist

Williamsburg, VA · On-site

Communicates effectively with insurance companies, health maintenance organization (HMOs) and other ... Initiates, coordinates, and monitors the appeal process. Provides information to physicians to ...

Albanymed

Medical Billing Analyst

Broadway, VA · On-site

$46K - $65K/yr

Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies * Validate and Correct registration and insurance information, notations ...

Summit BHC

Utilization Specialist - Acute

Williamsburg, VA · On-site

$24 - $28/hr

Communicates effectively with insurance companies, health maintenance organization (HMOs) and other ... Initiates, coordinates, and monitors the appeal process. Provides information to physicians to ...

MultiPlan

Patient Advocate

Mclean, VA · On-site

$25 - $30/hr

DUTIES 1. Manages facility, provider, and member inquiries, appeals and balance billing, including ... This position is also eligible for health insurance, 401k and bonus opportunity. REQUIREMENTS

New

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

Responsible for leveraging coding knowledge and standard procedures to track appeals through first ... insurance company, managed care organization or other health care financial service setting ...

previous page

Showing results 41-60

All JobsInsurance Appeals JobsInsurance Appeals Jobs in Virginia

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 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 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution.

Billing/Utilization Specialist

Behavioral Health Services of Virginia

Richmond, VA • On-site

$17 - $23/hr

Full-time

Re-posted 13 days ago

Job description

Description
We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Medical Biller
Responsibilities:
* Prepare and submit billing data and medical claims to insurance companies.
* Ensure the patient's medical information is accurate and up to date.
* Prepare bills and invoices, and document amounts due to medical procedures and services. * Collect and review referrals and
* Monitor and record late payments.
* Follow-up on missed payments and resolve financial discrepancies.
* Examine patient bills for accuracy and request any missing information.
* Investigate and appeal denied claims.
* Help patients develop patient payment plans.
* Maintain billing software by updating rate change, cash spreadsheets, and current collection reports.
Requirements
Bachelor's degree in business, health care administration, accounting, or relevant field. * A minimum of 2 years experience as a medical biller or similar role. * Solid understanding of billing software and electronic medical records. * Must have the ability to multitask and manage time effectively. * Excellent written and verbal communication skills. * Outstanding problem-solving and organizational abilities.

Apply