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Manager Appeals Jobs (NOW HIRING)

Koya Medical, Inc.

Commercial Appeals Specialist

$55K - $60K/yr

This role reports to the Manager, Appeals within the Reimbursement Operations Department. The role is full time, exempt and will work remotely. Essential Duties and Responsibilities The essential ...

Mercor

Appeals Manager - AI Trainer

Dallas, TX · Remote

$70 - $93/hr

Denials Management & Appeals Manager Type: Contract Compensation: $70-$93/hour Location: Remote Role Responsibilities * Lead denials management and appeals operations. Oversee identification ...

BronxCare Health System

Appeals Manager

Bronx, NY · On-site

$23 - $28.25/hr

... appeals for the purpose of securing reimbursement for acute care services provided to patients ... Management. Responsibilities - Establish and maintain positive relationships with patients ...

TRILLIUM HEALTH RESOURCES

Appeals Specialist II

NC · Remote

$56K - $69K/yr

Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status: Exempt ... We manage services for individuals with serious mental health needs, substance use disorders ...

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Manager Appeals information

See salary details

$36.5K

$118K

$212.5K

How much do manager appeals jobs pay per year?

As of Sep 1, 2026, the average yearly pay for manager appeals in the United States is $118,006.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,000.00 and $139,500.00 per year, depending on experience, location, and employer.

What is a Manager Appeals?

A Manager of Appeals is a professional responsible for overseeing the appeals process within an organization, typically in fields like healthcare, insurance, or finance. They manage a team that reviews and resolves appeals or grievances filed by clients, customers, or members regarding denied claims or decisions. Their role involves ensuring compliance with regulations, maintaining quality standards, and providing guidance to staff to ensure fair and timely resolutions. Strong analytical, communication, and leadership skills are essential for this position.

How does a Manager Appeals typically collaborate with other departments to resolve complex cases?

A Manager Appeals works closely with departments such as legal, compliance, customer service, and clinical teams to ensure appeals are resolved accurately and efficiently. They often facilitate cross-functional meetings to review complex cases, clarify regulations, and develop solutions that align with company policies and industry standards. This role requires strong communication and negotiation skills, as well as the ability to interpret and apply regulations while balancing organizational goals and member needs.

What are the key skills and qualifications needed to thrive as a Manager Appeals, and why are they important?

To thrive as a Manager Appeals, you need in-depth knowledge of healthcare regulations, appeals processes, and a background in health administration or a related field, often supported by a bachelor’s degree. Familiarity with case management systems, claims processing software, and regulatory compliance tools is typically required. Strong leadership, analytical thinking, and communication skills help in guiding teams, resolving complex cases, and collaborating with stakeholders. These skills are crucial to ensure timely, accurate resolution of appeals, maintain compliance, and support organizational goals.

What is the difference between Manager Appeals vs Customer Service Manager?

AspectManager AppealsCustomer Service Manager
Required CredentialsBachelor's degree, legal or administrative background often preferredBachelor's degree in business, communications, or related field
Work EnvironmentLegal or administrative settings, corporate officesCustomer service centers, retail, or corporate offices
Employer & Industry UsageInsurance, healthcare, government agenciesRetail, hospitality, telecommunications
Common Search & ComparisonFocuses on legal or administrative appeals processesFocuses on managing customer service teams and satisfaction

Manager Appeals and Customer Service Manager roles share similarities in leadership and communication skills but differ mainly in their focus areas. Manager Appeals typically handles legal or administrative appeals within organizations, requiring specific credentials and experience in legal or administrative processes. Customer Service Managers oversee customer relations and satisfaction, often in retail or service industries. Understanding these differences helps job seekers find roles aligned with their skills and career goals.

More about Manager Appeals jobs

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Cities with the most Manager Appeals job openings:

What are the most commonly searched types of Appeals jobs?

The most popular types of Appeals jobs are:

What states have the most Manager Appeals jobs?

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What job categories do people searching Manager Appeals jobs look for?

The top searched job categories for Manager Appeals jobs are:

Manager Appeals jobs near you
Infographic showing various Manager Appeals job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $118,006 per year, or $56.7 per hour.

RN Case Manager- Appeals

Healthcare Support Staffing

Sacramento, CA • On-site

Full-time

Re-posted 12 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities:  

This candidate needs to be comfortable in an office setting. The hiring manager wants to stay away from candidates coming straight from clinical as they are not used to a desk job and no patient interaction.

This person will be reviewing cases to make sure the correct medical actions were taken and denying and appealing those cases. They will be writing letters and correspondence and sitting at a computer all day.

Position Purpose: Facilitate medical necessity appeals and denials including disposition of denials notification letters, review of clinical information to determine if medical necessity criteria are met

Review clinical data to determine claim payment based on company policies and

National Committee for Quality Assurance (NCQA) guidelines, including overturning denied claims, upholding the denials and submitting cases to the Medical Director for review

Prepare case review for the Medical Director in cases where criteria are not met based on the additional clinical information received

Generate appropriate appeal resolution communication to the member and provider in accordance with company policies and NCQA guidelines. Create system authorization events for overturned denial decisions

Request additional information, as appropriate from provider(s) to facilitate timely appeals resolution

Gather and prepare case information for Administrative Law Hearings

Maintain appeals process within the prescribed NCQA timeframes and appeals turnaround database

Assist the Medical Director with revising, updating and/or creating new policies to satisfy NCQA and contractual requirements.


Qualifications

Requirements: 

RN License

Computer savvy is a MUST! - Candidates must be proficient working on the computer

Experience with utilization review or claims appeals

Interqual experience preferred

well spoken- candidates will be writing letters and correspondence


Hours for this Position:

8:00-5:00

Advantages of this Opportunity: 

Competitive salary

Fun and positive work environment


Additional Information

Are you a RN with Case Management experience in appeals/Denials?  If so please call me; Ashley directly 407-478-0332 ext 169. If you know anyone, we pay generously for referrals!  

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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