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Remote Appeals Jobs (NOW HIRING)

Quantum Health

Director, Appeals

This position is located at our Dublin, OH campus with remote/hybrid flexibility Who we are Founded ... About the role The Director of Appeals leads and manages the clinical appeals function within the ...

New

Quantum Health

Director, Appeals

This position is located at our Dublin, OH campus with remote/hybrid flexibility Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare ...

New

Corvel

Appeals Representative II

Fort Worth, TX · On-site +1

$18.80 - $30.34/hr

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 ...

BCForward

Appeals Specialist

Austin, TX · Remote

$23/hr

Appeals Specialist Location ... Remote- USA Duration: Contract - 06 months Pay Range: $23.00/hr (W2) Schedule: M-F CST M-F 7:00am-3 ...

New

CERiS

Appeals Representative II

$18.80 - $30.34/hr

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 ...

Corvel

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

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 ...

CERiS

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

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 ...

CERiS

Appeals Representative II

Fort Worth, TX · On-site +1

$18.80 - $30.34/hr

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 ...

Corvel

Appeals Representative II

$18.80 - $30.34/hr

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 ...

BCForward

Grievance & Appeals Coordinator I

Iowa, IA · Remote

$19.77/hr

Remote (Iowa Residents Only) Duration: 6-Month Contract (Extension Possible) Schedule: Monday-Friday, 8:30 AM - 5:00 PM CST Pay Rate: $19.77/hr on W2 Position Summary The Grievance & Appeals ...

KYYBA

Be Seen First

Grievance & Appeals Coordinator

Detroit, MI · Remote

$30 - $33/hr

Detroit MI (Remote) Dept: MA Grievances and Appea Will this position be required to work onsite for any reason at any time? No, fully remote Engagement Description - Process appeals and grievances ...

TeamHealth

Appeals Representative

Alcoa, TN · On-site +1

Equipment Provided for Remote Roles OVERVIEW: Position is responsible for reviewing assigned ... Assembles and prepares required documentation for appeal in billing system to appeal disputed ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Columbus, OH · On-site +1

$55.25 - $67.25/hr

Gain expertise in appeals, utilization management, and managed care pharmacy. * Flexibility: Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive benefits ...

Pharmacy Careers

Appeals Pharmacist (Remote)

South Jordan, UT · On-site +1

$54.25 - $66.25/hr

Gain expertise in appeals, utilization management, and managed care pharmacy. * Flexibility: Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive benefits ...

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Remote Appeals information

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$30.5K

$86.5K

$115.5K

How much do remote appeals jobs pay per year?

As of Jun 19, 2026, the average yearly pay for remote appeals in the United States is $86,480.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What are typical challenges faced by Remote Appeals professionals, and how do teams address them?

Remote Appeals professionals often navigate complex regulations, tight deadlines, and high volumes of cases, which can be challenging without direct, in-person team support. Teams typically address these by using structured workflows, regular video meetings, and clear communication channels to ensure consistency and collaboration. Many employers provide comprehensive training and accessible digital resources to help remote staff stay updated on policies and best practices. By fostering a supportive virtual environment, organizations help Remote Appeals specialists efficiently manage their caseloads and maintain high-quality work standards.

What is a Remote Appeals job?

A Remote Appeals job involves reviewing and processing appeals related to denied claims, decisions, or disputes, typically in industries like healthcare, insurance, or financial services. Professionals in this role analyze appeal cases, gather necessary documentation, and communicate with relevant parties to ensure fair resolutions. They often work remotely, using digital tools to assess appeals, follow regulations, and meet deadlines. Strong attention to detail, knowledge of industry policies, and communication skills are essential for success in this role.

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

To thrive as a Remote Appeals professional, you need expertise in reviewing and processing appeals, a solid understanding of compliance or regulatory guidelines, and relevant industry experience, often in insurance, healthcare, or legal fields. Familiarity with case management software, document management systems, and standard office tools like Microsoft Office or Google Workspace is essential. Strong analytical abilities, attention to detail, effective written communication, and problem-solving skills help you stand out in this position. These capabilities ensure accurate, efficient appeal resolution and positive experiences for clients or claimants in a remote work environment.

More about Remote Appeals jobs
What cities are hiring for Remote Appeals jobs? Cities with the most Remote Appeals job openings:
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Remote Appeals jobs near you

(REMOTE) Appeals and Grievance Representative

Widescope Consulting and Contracting Services LLC

Powder Springs, GA • Remote

$17.75/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 27 days ago

Job description

Locations: Alabama, Florida, Georgia, Illinois, Kentucky, Maryland, North Carolina, South Carolina, Tennessee, Texas, Virginia, and Washington State

Position Type: Full-Time | Remote

Pay Rate: $17.75/hour base pay plus an additional $5.36/hour applied toward health and welfare benefits or retirement (depending on benefit election).If health benefits are not needed (candidate has TRICARE, VA, or spouse provided health coverage) the $5.36 per hour is placed in a 401(a)-tax deferred account where 3% of the funds are matched by the company. If the candidate needs health, vision, dental insurance from the company, the $5.36 per hour pay is applied to cover health benefit options selected.

Position Summary:

Widescope Consulting and Contracting is urgently hiring experienced Appeals and Grieveance Representatives to support a remote healthcare initiative. In this role, you will be responsible for reviewing, researching, and resolving member and provider appeals and grievances with accuracy and professionalism. We are seeking candidates who can start right away and bring strong claims experience, problem-solving skills, and attention to detail.

Key Responsibilities:

  • Review and resolve appeal and grievance cases
  • Research underlying issues and apply appropriate policy guidelines (CMS, TRICARE)
  • Communicate decisions clearly with internal teams and external parties
  • Maintain organized, accurate documentation for each case
  • Work independently in a fast-paced, non-scripted environment

Required Qualifications:

  • High School Diploma / GED (or higher)
  • 2+ years of healthcare claims benefits experience (including denial research)
  • 1+ year of customer service experience
  • 1+ year of claims appeal experience
  • Proficiency in Microsoft Word and Excel

Preferred Skills:

  • Familiarity with TRICARE or Medicare (CMS) policies and procedures
  • Strong time managment and analytical thinking
  • Excellent verbal and written communication skills

Remote Work Requirements:

  • A quiet, dedicated home workspace free of distractions
  • Reliable high-speed internet (minimum 50Mbps down / 7 Mbps up)
  • Wired internet connection (LAN) preferred
  • Ability to perform basic troubleshooting with phone support from tech team
  • Company-provided equipment (computer, monitors, webcam, headset, cables) and support.

Apply now! We are hiring immediately and reviewing qualified candidates on a rolling basis.

Apply