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Medical Appeals Jobs (NOW HIRING)

TEKsystems

Medical Coding Specialist

Saint Louis, MO

$28/hr

Draft appeal letters and compile supporting documentation * Research payer policies, regulations ... Medical billing * Healthcare accounts receivable (AR) * Insurance collections * Revenue cycle ...

TEKsystems

Medical Coding Specialist

Saint Louis, MO

$28/hr

Draft appeal letters and compile supporting documentation * Research payer policies, regulations ... Medical billing * Healthcare accounts receivable (AR) * Insurance collections * Revenue cycle ...

Harris Health System

STAR+PLUS Appeals Nurse RN

Houston, TX · On-site

$80K - $100K/yr

Job Profile JOB SUMMARY Appeals Nurse assists in the review of medical records submitted for appeals by providers due to adverse determination. Utilize evidence-based criteria, regulatory guidelines ...

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Medical Appeals information

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$11

$22

$40

How much do medical appeals jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for medical appeals in the United States is $22.84, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $24.04 per hour, depending on experience, location, and employer.

What are some common challenges faced in a Medical Appeals role, and how can I prepare for them?

Professionals in Medical Appeals frequently encounter challenges such as navigating complex insurance policies, tight deadlines for appeals submissions, and managing high volumes of cases. To succeed, it's important to develop strong organizational skills, attention to detail, and effective communication abilities to advocate for patients and collaborate with healthcare providers. Familiarity with medical terminology, insurance guidelines, and regulatory requirements will also help you build persuasive appeals and respond to denials efficiently. Staying current with changing healthcare regulations and regularly collaborating with teammates can further enhance your effectiveness in this role.

What are medical appeals?

Medical appeals are formal requests made to a health insurance company when a claim for medical services, treatments, or prescriptions has been denied or only partially approved. Patients, healthcare providers, or authorized representatives can file appeals to have the insurance company review and reconsider its decision. The appeals process often involves submitting additional documentation or medical evidence to support the necessity of the service. Understanding the specific appeals process and deadlines for your insurance provider is crucial for a successful outcome.

What is the difference between Medical Appeals vs Medical Coding Specialist?

AspectMedical AppealsMedical Coding Specialist
Required CredentialsCertification in medical billing and coding, knowledge of insurance policiesCertification in medical coding (CPC, CCS), understanding of medical terminology
Work EnvironmentHealthcare facilities, insurance companies, billing officesHospitals, clinics, outpatient facilities, insurance companies
Employer & Industry UsageUsed to challenge denied claims, ensure reimbursementUsed to assign accurate medical codes for billing and documentation

Medical Appeals and Medical Coding Specialists both work within the healthcare billing and reimbursement process. Medical Appeals focus on reviewing and contesting denied insurance claims, while Medical Coding Specialists assign appropriate codes to medical procedures and diagnoses. Both roles require certification and knowledge of healthcare documentation, but they serve different functions in the revenue cycle.

What are the key skills and qualifications needed to thrive in Medical Appeals, and why are they important?

To thrive in Medical Appeals, you need a strong knowledge of medical terminology, insurance policies, and healthcare regulations, often supported by experience in healthcare administration or coding. Familiarity with claims management systems, electronic health records (EHRs), and relevant certifications such as Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) is typically required. Attention to detail, effective written communication, and problem-solving skills help professionals build persuasive appeals and collaborate with providers or insurers. These skills ensure accurate, timely resolution of denied claims, maximizing reimbursements and supporting patient access to necessary care.
More about Medical Appeals jobs
What cities are hiring for Medical Appeals jobs? Cities with the most Medical Appeals job openings:
What states have the most Medical Appeals jobs? States with the most job openings for Medical Appeals jobs include:
What job categories do people searching Medical Appeals jobs look for? The top searched job categories for Medical Appeals jobs are:
Medical Appeals jobs near you
Infographic showing various Medical Appeals job openings in the United States as of July 2026, with employment types broken down into 31% Locum Tenens, 62% Full Time, 5% Part Time, 1% Contract, and 1% Summer. Highlights an 79% Physical, 6% Hybrid, and 15% Remote job distribution, with an average salary of $47,512 per year, or $22.8 per hour.
Medical Appeals Representative

Medical Appeals Representative

AMMON Staffing

Baton Rouge, LA • On-site

Other

Medical

Posted 5 days ago

Job description

Medical Appeals Representative
Baton Rouge, Louisiana, United States | Job #: 27745
Job overview
Baton Rouge, Louisiana, United States
Job #: 27745
Full Time
Temporary
Medical / Healthcare Administration
Description
Company: AMMON Staffing
Job Title: Medical Appeals Representative
Job Type: Full-Time, Temporary
Assignment Length: 6 Months
Location: Baton Rouge, LA
Work Setting: On-Site Corporate Office Environment
Schedule: Monday-Friday
Hours: 40 hours per week
Start Date: July 6, 2026
Screening Requirements: Background Check, Drug Screen, Employment Verification, Education Verification, Reference Check, E-Verify
Job Overview
AMMON Staffing is recruiting a detail-oriented Medical Appeals Representative for a full-time temporary assignment in Baton Rouge, LA.
This position provides operational support for the intake, prioritization, coordination, and tracking of medical appeals. The Medical Appeals Representative will review incoming appeal requests, determine whether appeals are expedited or standard, create and maintain appeal cases in designated systems, and route cases to the appropriate clinical or administrative staff.
The ideal candidate will have experience with health insurance, benefits, claims research, customer service, and medical appeals processes. This role requires strong attention to detail, excellent organizational skills, independent work capability, and the ability to meet deadlines in a high-volume office environment.
This position is 100% on-site in Baton Rouge and is not remote.
Job Details
Job ID: 27745
Pay Frequency: Hourly
Job Type: Full-Time, Temporary
Assignment Length: 6 Months
Work Setting: On-Site
Department/Industry: Medical / Healthcare Administration
Schedule: Monday-Friday
Hours Per Week: 40
Start Date: July 6, 2026
Location: Baton Rouge, Louisiana
Screening Requirements: Background Check, Drug Screen, Employment Verification, Education Verification, Reference Check, E-Verify
Key Responsibilities
Responsibilities may include, but are not limited to:
  • Review incoming medical appeal requests received by mail, fax, or electronic submission
  • Determine appeal eligibility and classify appeals as expedited or standard
  • Establish and maintain appeal cases within designated systems
  • Prioritize, organize, distribute, and track appeals for appropriate review
  • Route appeal cases to clinical or administrative staff based on workflow requirements
  • Coordinate appeal workflow to support timely processing and service level expectations
  • Perform research and prepare documentation to support appeal processing
  • Assist with case setup, routing, and processing during high-volume periods
  • Maintain accurate records and documentation for audit, retention, and compliance purposes
  • Follow HIPAA, accreditation, federal, state, and internal compliance requirements
  • Collaborate with internal departments to support appeal resolution
  • Identify process improvement opportunities and communicate recommendations to leadership
  • Perform additional duties as assigned within the scope of the role
Qualifications
Minimum qualifications include:
  • High school diploma or equivalent required
  • At least 3 years of insurance experience, including benefits and claims research
  • At least 2 years of customer service and/or claims processing experience
  • Experience may run concurrently
  • Knowledge of health insurance benefits and claims processing procedures
  • Ability to interpret benefit plans across multiple lines of business
  • Familiarity with CPT, ICD-10, and HCPCS coding systems
  • Strong organizational, prioritization, and time management skills
  • High attention to detail and accuracy
  • Ability to work independently in a fast-paced and changing environment
  • Strong written and verbal communication skills
  • Proficiency with Microsoft Office, including Word and Excel
Preferred Experience
Preferred experience includes:
  • Experience with Facets
  • Experience with EPIC
  • Experience with ESI
  • Experience using provider portals or claim research tools
  • Experience with Adobe Standard
  • Medical appeals, grievances, claims, benefits, or healthcare administration experience
Work Environment
This is a standard office position in a professional corporate environment. The position is primarily sedentary with minimal physical demands. Candidates must be able to work independently, manage deadlines, maintain accuracy, and support team coverage during periods of increased workload.
What We're Looking For
We are looking for a reliable, organized, and detail-focused professional who understands the importance of accurate medical appeal processing. The successful candidate will be able to review information carefully, manage multiple priorities, follow compliance requirements, and communicate professionally with internal departments.
Additional Information
Selected candidates must be able to complete pre-employment screening requirements, including background check, drug screen, employment verification, education verification, reference check, and E-Verify.
This assignment is expected to last approximately 6 months and requires full-time, on-site availability in Baton Rouge, LA.
Pay and Schedule
Employment Type
Full-Time, Temporary
Assignment Length
6 Months
Schedule
Monday-Friday
Hours
40 hours per week
Location
Baton Rouge, Louisiana
Start Date
July 6, 2026
About AMMON Staffing
AMMON Staffing is a Baton Rouge staffing agency connecting local job seekers with healthcare, industrial, logistics, office, hospitality, and commercial opportunities. AMMON Staffing is locally owned and has served the Baton Rouge area since 1984.

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