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Provider Appeals Jobs (NOW HIRING)

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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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.

Appeals Representative II

CorVel Healthcare Corporation

Fort Worth, TX • Remote

$18.80 - $30.34/hr

Full-time

Re-posted 11 days ago

Job description

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 along with CMS and state guidelines as well as client instructions.

This is a remote role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication
  • Ability to appropriately interpret provider appeals and apply analytical thinking skills
  • Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill
  • Utilize applicable tools and resources to complete appeals
  • Timely completion of appeals
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Prior knowledge of inpatient and outpatient hospital revenue cycle required
  • Excellent written and verbal communication skills
  • Contract interpretation, medical terminology and coding knowledge
  • Proficiency with Microsoft applications

EDUCATION & EXPERIENCE:

  • High school diploma or equivalent
  • 3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)
  • 2+ years working with customers in a fast‐paced, deadline‐oriented environment
  • 2+ years experience as an Appeals Representative
  • Strong attention to detail, organizational and time management skills with the ability to
  • interpret, research and identify core issues
  • Strong customer focus, analytical and decision making skills
  • Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $18.80 - $30.34 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CERiS:

CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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