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Provider Appeals Coordinator Jobs (NOW HIRING)

Integrated Resources INC

Appeals Coordinator

Orange, CA

$23.50 - $29/hr

Provides high level of accuracy and quality in produced materials and interactions with members and providers. ESSENTIAL FUNCTIONS: Maintain a caseload of appeals, non-authorizations, provider ...

Wvumedicine

Clinical Appeals Coordinator

$22.50 - $28/hr

The Appeals Nurse will investigate and process medical necessity requests from both members and providers. The Clinical Appeals Coordinator is a collaborative member of the Medical Management team.

Independence Blue Cross

Clinical Appeals Coord

$22.50 - $28/hr

The role supports case development, documentation review, matched-specialty coordination, member and provider outreach, appeal correspondence, committee preparation, and audit-ready file completion.

Peak Health

Clinical Appeals Coordinator

$22.50 - $28/hr

The Appeals Nurse will investigate and process medical necessity requests from both members and providers. The Clinical Appeals Coordinator is a collaborative member of the Medical Management team.

Conduent, Inc.

Appeals Coordinator

Baton Rouge, LA · On-site

$17 - $21.50/hr

As an Appeals Coordinator you will represent the customer, the Louisiana Department of Health (LDH ... We provide opportunities to advance your career with a vast portfolio of businesses and a global ...

WVU Medicine

Clinical Appeals Coordinator

$22.50 - $28/hr

The Appeals Nurse will investigate and process medical necessity requests from both members and providers. The Clinical Appeals Coordinator is a collaborative member of the Medical Management team.

Conduent, Inc.

Appeals Coordinator

Baton Rouge, LA · On-site +1

$17 - $21.50/hr

As an Appeals Coordinator you will represent the customer, the Louisiana Department of Health (LDH ... We provide opportunities to advance your career with a vast portfolio of businesses and a global ...

Bannerhealth

HP Grievance & Appeals Coordinator

$22.50 - $28/hr

POSITION SUMMARY This position handles member and provider grievances, appeals and claim disputes. This position will act as a key advocate and contact for HP members with general health care and ...

Massgeneralbrigham

Medicare Appeals Coordinator

Somerville, MA · Remote

$24 - $29.75/hr

Together, we are providing our members with innovative solutions centered on their health needs to ... The Appeals Coordinator will coordinate, process, investigate, and document all aspects of member ...

tnhealth

Grievances and Appeals Coordinator

Franklin, TN · On-site

$21.75 - $27/hr

The Grievances and Appeals Coordinator processes, tracks and follows up on all medical necessity ... Prepare response letters, notifications, and acknowledgements for members and provider complaints ...

tnhealth

Grievances and Appeals Coordinator

Franklin, TN · On-site

$21.75 - $27/hr

The Grievances and Appeals Coordinator processes, tracks and follows up on all medical necessity ... Prepare response letters, notifications, and acknowledgements for members and provider complaints ...

Banner Health

HP Grievance & Appeals Coordinator

Phoenix, AZ · Remote

$20.75 - $25.75/hr

POSITION SUMMARY This position handles member and provider grievances, appeals and claim disputes. This position will act as a key advocate and contact for HP members with general health care and ...

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Provider Appeals Coordinator information

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How much do provider appeals coordinator jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for provider appeals coordinator in the United States is $24.98, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $26.20 per hour, depending on experience, location, and employer.

What does a Provider Appeals Coordinator do?

A Provider Appeals Coordinator manages and processes appeals from healthcare providers regarding denied claims or reimbursement issues. They review case details, communicate with providers and insurance companies, and ensure compliance with policies, often using claims management systems. Strong communication skills and knowledge of billing and coding are essential for this role.

What cities are hiring for Provider Appeals Coordinator jobs?

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What states have the most Provider Appeals Coordinator jobs?

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Provider Appeals Coordinator jobs near you
Infographic showing various Provider Appeals Coordinator job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 14% Part Time, and 6% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $51,963 per year, or $25 per hour.

Appeals Specialist

Group Health Cooperative of Eau Claire

Altoona, WI • On-site

Full-time

Medical, Dental, Retirement, PTO

Posted 26 days ago

Job description

Position Purpose
The Appeals Specialist will be responsible for the appeals process from receipt to resolution for both provider appeals and member appeals, grievances, and complaints. This position will research and resolve complex issues related to claims and enrollment, provider payment disputes, reversals, member authorization denials, and service quality complaints. The Appeals Specialist will schedule member appeals and lead the Grievance and Appeal Committee meetings for members to appeal authorization denials and/or quality complaints. Finally, this position is responsible for tracking and reporting on data related to these processes. This position will report to the Director of Provider Relations.
Essential Position Functions
  • Coordinate the formal provider appeals process both internally for first level and externally for second level appeals. This includes, preparing and sending letters, scheduling, and leading the appeal meeting, and drafting and sending resolution.
  • Coordinate the informal provider payment dispute process and determine the necessary actions to resolve the problem.
  • Coordinate the member grievance and appeal process with Appeals Coordinator. This includes member contact and coordination (verbal and written correspondence), tracking grievances and appeal, scheduling and leading Grievance and Appeal Committee, clinical consultations with the Health Management Department, and internal and external reporting.
  • Coordinate member complaint process. This includes member contact and coordination (verbal and written correspondence), tracking complaints, scheduling and leading Grievance and Appeal Committee, and internal and external reporting
  • Research and resolve complex claims that pertain to membership or billing issues; send claim and payment reversals to appropriate staff if necessary.
  • Work closely with the Internal Coder and Claims management team to resolve billing issues. Provide education to providers if appropriate.
  • Appeals Specialist will review all decisions and generate resolution letters for member and provider appeals.
Minimum Requirements of the Position
  • Excellent verbal and written communication skills required;
  • One to two years of customer service experience focusing on customer complaint resolution is preferred;
  • Bachelor’s degree preferred or equivalent experience required;
  • Knowledge of the health insurance industry preferred;
  • Organized and attentive to detail;
  • Proficiency with Microsoft Word, Excel is required.
  • Ability to work well with many different personality types;
  • Excellent work ethic with the ability to work in a team environment as well as independently;
  • Strong analytical and problem solving skills.
Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@group-health.com. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

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