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Insurance Appeals Jobs (NOW HIRING)

Fittings Unlimited

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Insurance Claims Specialist

Waterloo, IA · On-site

$18/hr

Denials & Appeals: Process claim denials and spearhead the insurance appeals process to ensure proper reimbursement. Prior Authorizations: Prepare, submit, and track prior authorization requests.

Fittings Unlimited

Be Seen First

Insurance Claims Specialist

Iowa City, IA · On-site

$18/hr

Denials & Appeals: Process claim denials and spearhead the insurance appeals process to ensure proper reimbursement. Prior Authorizations: Prepare, submit, and track prior authorization requests.

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$30.5K

$86.5K

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How much do insurance appeals jobs pay per year?

As of Jun 6, 2026, the average yearly pay for insurance 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 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.
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Insurance Appeals jobs near you
Insurance AR Specialist - Remote

Insurance AR Specialist - Remote

Surgical Information Systems

Cape Coral, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). 

Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.

Discover how SIS can help you Operate Smart™ at sisfirst.com.

THIS IS A REMOTE POSITION

This is an exciting opportunity to join a dynamic and growing Revenue Cycle Services (RCS) team that is actively expanding to support our continued success—all in a fully remote environment. The AR Specialist plays an important role in supporting the financial outcomes of our clients by working insurance accounts receivable for Ambulatory Surgical Centers and Clinics, including followup, denial resolution, and appeal submissions. As we continue to add to our team, this remote position offers the chance to join a collaborative, forwardmoving company where your contributions make a direct impact and your work is truly valued.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

  • Work assigned insurance accounts receivable with accuracy, efficiency, and a strong sense of ownership
  • Proactively follow up on outstanding claims and insurance denials to ensure timely resolution
  • Research, prepare, submit, and track insurance appeals, including ongoing appeal followup
  • Communicate effectively with insurance representatives to resolve claim issues and obtain payment
  • Apply strong organizational and timemanagement skills to prioritize daily workloads and meet deadlines
  • Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts
  • Work confidently with nonparticipating providers and payer guidelines
  • Maintain a clear understanding of the insurance collection process and apply best practices consistently
  • Identify issues and resolve problems independently, using sound judgment and attention to detail
  • Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

EDUCATION DESIRED:

High school graduate or GED certification

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

  • Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle
  • Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting
  • Proficiency with computers and Windowsbased software systems
  • Strong written and verbal communication skills with excellent command of the English language
  • Ability to work cooperatively and professionally with teammates, patients, and external partners
  • Customerfocused mindset with the ability to represent the company positively to patients, insurance carriers, and the general public
  • Must have a minimum of 50Mbps internet download speed to effectively run SIS Systems

    BENEFITS:

    • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
    • Vacation/Sick time
    • 401(k) retirement plan with company match
    • Paid Holidays
    • SIS Cares Day
    • Hybrid or Remote environment depending on the role

    We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses

    Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

    At this time we are unable to sponsor H1B candidates

    Apply