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Provider Appeals Jobs (NOW HIRING)

VIVA Health

Provider Appeals Coordinator

Birmingham, AL

$20.75 - $25.50/hr

Provider Appeals Coordinator Location: Birmingham, AL Work Schedule: Hybrid schedule with regular onsite presence at the VIVA HEALTH corporate office and some work-from-home opportunities. Why VIVA ...

Viva Health

Provider Appeals Coordinator

Birmingham, AL · On-site

$20.75 - $25.50/hr

Provider Appeals Coordinator Location: Birmingham, AL Work Schedule: Hybrid schedule with regular onsite presence at the VIVA HEALTH corporate office and some work-from-home opportunities. Why VIVA ...

Curana Health, Inc.

Investigate and resolve member and provider appeals and grievances in a professional, accurate, and timely manner while meeting all contractual and regulatory timeframes. * Maintain a clear ...

Charter Healthcare

Appeals Assistant

Rancho Cucamonga, CA · On-site

$20 - $30/hr

Responsible for ensuring professional handling of all provider appeals in a timely, compliant, and efficient way as well as be responsible for the daily office operations, procedures, and resources ...

CERiS

Appeals Representative II

$18.80 - $30.34/hr

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards ...

Corvel

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards ...

Corvel

Appeals Representative II

$18.80 - $30.34/hr

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards ...

CERiS

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards ...

CERiS

Appeals Representative II

Fort Worth, TX · On-site +1

$18.80 - $30.34/hr

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards ...

Corvel

Appeals Representative II

Fort Worth, TX · On-site +1

$18.80 - $30.34/hr

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards ...

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Provider Appeals information

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$14

$28

$56

How much do provider appeals jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for provider appeals in the United States is $28.06, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $35.10 per hour, depending on experience, location, and employer.

What are some common challenges faced in a provider appeals role, and how can candidates prepare to address them?

Professionals in Provider Appeals often encounter complex cases requiring thorough knowledge of payer policies, medical necessity, and regulatory guidelines. Navigating tight deadlines, managing multiple appeals simultaneously, and communicating effectively with providers and insurers are frequent challenges. Candidates can prepare by developing strong organizational skills, staying current on healthcare regulations, and practicing clear, concise written communication. Building relationships with cross-functional teams, such as clinical staff and claims processors, also helps resolve issues efficiently.

What are the key skills and qualifications needed to thrive as a provider appeals specialist, and why are they important?

To thrive as a Provider Appeals Specialist, you need a strong understanding of healthcare claims processing, insurance guidelines, and regulatory compliance, often supported by experience in medical billing or health administration. Familiarity with claims management systems, medical coding software (such as ICD-10 and CPT), and electronic health record platforms is typically required. Attention to detail, analytical thinking, and effective written and verbal communication are crucial soft skills for evaluating appeals and advocating for providers. These abilities ensure accurate, timely resolution of appeals, compliance with regulations, and positive relationships between healthcare providers and payers.

What are provider appeals?

Provider appeals are formal requests made by healthcare providers to insurance companies or payers to review and reconsider a denied or reduced claim for reimbursement. When a claim is denied, providers can submit an appeal to challenge the decision, often including additional documentation or explanations to support their case. The appeals process is an essential part of healthcare administration, helping ensure that providers receive fair payment for services rendered. Understanding the reasons for denials and following the payer's specific appeal procedures is critical for successful outcomes.
What are the most commonly searched types of Provider Appeals jobs? The most popular types of Provider Appeals jobs are:
What job categories do people searching Provider Appeals jobs look for? The top searched job categories for Provider Appeals jobs are:
Provider Appeals jobs near you
Infographic showing various Provider Appeals job openings in the United States as of August 2026, with employment types broken down into 71% Full Time, 6% Part Time, 6% Temporary, and 17% Contract. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $58,373 per year, or $28.1 per hour.

Provider Appeals Coordinator

VIVA Health

Birmingham, AL

$20.75 - $25.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Viva Health rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

152nd of 303 rated insurance

Job description

Provider Appeals Coordinator

Location: Birmingham, AL

Work Schedule: Hybrid schedule with regular onsite presence at the VIVA HEALTH corporate office and some work-from-home opportunities.  

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan, receiving a 5 out of 5 Star rating - the highest rating a Medicare Advantage Plan can achieve and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Job Description

The Provider Appeals Coordinator is responsible for processing written provider appeals for participating VIVA HEALTH and VIVA Medicare Plus providers as well as non-participating providers for commercial plan members. This position assists with and participates in meetings of the Provider Appeals Committee. This position is responsible for documenting the end-results of the appeals process.

Key Responsibilities

  • Review written appeals upon receipt. Forward non-par Medicare appeals to the Medicare Member Appeals and Grievances department.
  • Research provider appeals and present findings in a concise manner to the Provider Appeals Committee.
  • Effectuate the Committee’s decisions with regard to claims reprocessing or provider outreach.
  • Maintain an accurate log of all incoming provider appeals and work efficiently to close cases accurately and within required time frames.

REQUIRED:

  • High School Diploma or GED
  • 1+ years’ experience working for a managed care company/health plan in customer service, claims, or appeals
  • Excellent written and oral communication skills are essential
  • Proficient in standard office software (Excel, Word, Access)
  • Ability to perform tasks with little supervision
  • Basic computer skills

    PREFERRED:

    • Some college
    • 1+ years’ experience with DST system
    • Experience in the managed healthcare industry
    • Advanced computer skills

    What Viva Health employees say

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