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Manager Appeals Jobs (NOW HIRING)

MC-Rx

Appeals Coordinator

Gainesville, GA

$20.50 - $25.25/hr

Process fax queues, emails, answer incoming calls and adhere to all thresholds for authorization management. * Monitor appeal deadlines and ensure timely submission of all required documents. * Input ...

Quadax, Inc.

Appeals Specialist

Cleveland, OH

Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. * Report all insurance company or ...

Quadax

Appeals Specialist

Middleburg Heights, OH · On-site

Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. * Report all insurance company or ...

Freeman Mathis & Gary

Appeals Coordinator

Atlanta, GA · On-site

$59K - $63K/yr

The Appeals Coordinator is responsible for managing carrier denials and working with attorneys to resolve them. This individual will monitor and analyze insurance notifications, applying them to a ...

Freeman Mathis and Gary LLP

Appeals Coordinator

Atlanta, GA · On-site

$28.84 - $30.29/hr

The Appeals Coordinator is responsible for managing carrier denials and working with attorneys to resolve them. This individual will monitor and analyze insurance notifications, applying them to a ...

MC-Rx

Appeals Coordinator

Gainesville, GA · On-site

$20.50 - $25.25/hr

Process fax queues, emails, answer incoming calls and adhere to all thresholds for authorization management. * Monitor appeal deadlines and ensure timely submission of all required documents. * Input ...

LHH US

Appeals Coordinator

Tempe, AZ

$53K - $65K/yr

Appeals Coordinator (Healthcare Revenue Cycle) This role plays a critical part in maximizing ... Manage and resolve complex claim denials, including: Medical necessity, Usual & customary ...

Integrated Resources INC

Appeals Clerk

Milwaukee, WI · On-site

Appeals Clerk Duration: 3+ months contract Location: Milwaukee, Wisconsin 53224 Shift: 8:00AM to 5 ... Demonstrated problem solving and time management skills ? Demonstrated ability to meet established ...

Harris Health System

Appeals Coordinator

Houston, TX · On-site

$19.80 - $24.75/hr

About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO ... Job Profile JOB SUMMARY The Appeals Coordinator is responsible for intake of all forms of ...

LHH US

Appeals Coordinator

Tempe, AZ

$53K - $65K/yr

Appeals Coordinator (Healthcare Revenue Cycle) This role plays a critical part in maximizing ... Manage and resolve complex claim denials, including: Medical necessity, Usual & customary ...

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All JobsManager Appeals Jobs

Manager Appeals information

See salary details

$36.5K

$118K

$212.5K

How much do manager appeals jobs pay per year?

As of Jun 9, 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 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 are 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.

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.

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 cities are hiring for Manager Appeals jobs? 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? States with the most job openings for Manager Appeals jobs include:
Manager Appeals jobs near you
Infographic showing various Manager Appeals job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $118,006 per year, or $56.7 per hour.
Mgr Revenue Cycle Management Denial and Appeals

Mgr Revenue Cycle Management Denial and Appeals

Baylor Genetics

Remote

Full-time

Posted 13 days ago

Job description

The Manager, Denials & Appeals, RCM is responsible for leading denial management, appeal strategy, and reimbursement recovery operations. This role focuses on improving overturn rates, reducing denial volumes, accelerating AR resolution, and maximizing reimbursement outcomes.
The Manager partners closely with Market Access, Billing Operations, Clinical Operations, and Finance to identify denial root causes, implement corrective actions, and ensure compliance with payer requirements and regulatory standards.
KEY RESPONSIBILITIES
Denial Management & Appeals Oversight
  • Lead daily operations for denial management, appeals, and reimbursement recovery workflows.
  • Oversee timely submission of appeals, ensuring accuracy, completeness, and alignment to payer requirements.
  • Manage high-value and complex denial escalations, including payer disputes and medical necessity rejections.

Denial Analytics & Prevention
  • Analyze denial trends, payer behaviors, and root causes to identify systemic issues.
  • Develop and implement denial prevention strategies across front-end, billing, and clinical workflows.
  • Partner with Market Access to address payer policy gaps and recurring denial drivers.

Reimbursement Recovery & AR Optimization
  • Drive recovery of underpayments, denied claims, and aged receivables.
  • Monitor AR performance, turnaround times, and resolution rates to ensure timely reimbursement.
  • Oversee processes for discrepancies, payment variances, and unresolved claims.

Appeal Strategy & Execution
  • Establish standardized appeal templates, documentation standards, and supporting evidence requirements.
  • Ensure appeals are supported by clinical documentation, payer policy alignment, and coding accuracy.
  • Collaborate with Clinical and Coding teams to strengthen appeal defensibility.

Quality, Compliance & Audit
  • Ensure adherence to payer guidelines, CMS regulations, and internal compliance standards.
  • Conduct quality audits on denial handling and appeals submissions.
  • Maintain audit-ready documentation and establish controls for compliance assurance.

Team Leadership & Performance Management
  • Lead, coach, and develop denial and appeals staff.
  • Monitor productivity, quality, and turnaround KPIs; drive performance improvements.
  • Establish training, SOPs, and best practices for consistency and scalability.

Reporting & Continuous Improvement
  • Identify opportunities to improve workflows, reduce manual effort, and increase automation.
  • Collaborate cross-functionally to resolve upstream issues impacting denial volume.

QUALIFICATIONS
Required
  • 6+ years of progressive healthcare RCM experience, including denials, appeals and reimbursement recovery.
  • 2+ years of leadership experience managing denial or AR follow-up teams.
  • Strong expertise in payer appeals processes, denial codes, and reimbursement methodologies.

Preferred:
  • Experience in diagnostic laboratory, genetics, molecular diagnostics, or precision medicine.
  • Strong familiarity with payer medical policies and reimbursement methodologies.
  • Familiarity with Xifin, Quadax, or Telcor RCM platforms.

COMPETENCIES
  • Denial Prevention & Root Cause Analysis
  • Appeals Strategy & Payer Negotiation
  • Data Analytics & KPI Management
  • Operational Leadership
  • Cross-Functional Collaboration

PHYSICAL DEMANDS AND WORK ENVIRONMENT
  • Location: Remote
  • Frequently required to sit; regularly required to talk/hear; regular use of computer and standard office equipment.
  • Office environment with regular interaction across clinical, operational, and commercial stakeholders.
  • Travel Requirements: Occasional travel may be required, such as onsite meetings, vendor or payer sessions, or operational reviews.

EEO STATEMENT
Baylor Genetics is proud to be an equal opportunity employer committed to fostering an inclusive and diverse workplace. We welcome and encourage applicants from all backgrounds to apply. We do not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, pregnancy, childbirth, or any other status protected by applicable federal, state, or local law. If you need an accommodation during the application process, please contact our Human Resources team.
Note to Recruiters:
We value building direct relationships with our candidates and prefer to manage our hiring process internally. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics ("Agreement"). Any resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics' authorized signatory will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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