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Remote Appeals Analyst Jobs (NOW HIRING)

KYYBA

Medicare Grievance and Appeals Analyst

Detroit, MI · Remote

$28 - $34/hr

Title: Grievance and Appeals Coordinator Location: 100% Remote Duration: 8+ months [Possible ... This role involves analyzing member concerns, conducting thorough research, and making accurate ...

Ourhrconnect

RN Appeals Analyst

Nashville, TN · Remote

... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... Analytical or critical thinking skills. Ability to handle confidential or sensitive information ...

CGS Administrators, LLC

RN Appeals Analyst

Nashville, TN · On-site +1

... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... Analytical or critical thinking skills. Ability to handle confidential or sensitive information ...

Pionear LLC

/Managed Care Coordinator

$28 - $30/hr

... remote Bill Rate: $28.00 - $30.00 Mark up: 42% Pay Rate: $19.72 - $21.13 Notes: ** Managed Care Coordinator is generic title- We are looking for UM Appeals Analyst (Non Clinical) ** The Horizon UM ...

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 ... Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability ...

Corvel

Appeals Representative II

$18.80 - $30.34/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Reviews, analyzes, and completes ... Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability ...

CERiS

Appeals Representative II

$18.80 - $30.34/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Reviews, analyzes, and completes ... Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability ...

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 ... Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability ...

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 ... Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability ...

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 ... Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability ...

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Remote Appeals Analyst information

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$37K

$71.2K

$110.5K

How much do remote appeals analyst jobs pay per year?

As of Jun 30, 2026, the average yearly pay for remote appeals analyst in the United States is $71,216.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $87,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Appeals Analyst, and why are they important?

To thrive as a Remote Appeals Analyst, you need a solid understanding of healthcare claims processing, medical terminology, and insurance regulations, often supported by a relevant degree or prior experience in medical billing or claims review. Familiarity with claims management software, electronic health record (EHR) systems, and sometimes certification such as Certified Professional Coder (CPC) is typically required. Strong analytical thinking, attention to detail, and effective written communication skills help you clearly articulate appeals and resolve claim issues. These skills and qualifications are crucial for ensuring accurate and timely resolution of appeals, compliance with regulations, and maintaining positive payer relationships.

What is a Remote Appeals Analyst?

A Remote Appeals Analyst is a professional who reviews, processes, and evaluates insurance claims and appeals from a remote location, often working from home. Their role typically involves analyzing denied or disputed insurance claims, gathering relevant documentation, and determining whether appeals are justified based on policies and regulations. They communicate findings to insurance companies, healthcare providers, or clients, and may draft appeal letters or recommend further actions. Strong analytical, communication, and organizational skills are essential for this job, along with a good understanding of insurance policies and healthcare regulations.

How does a Remote Appeals Analyst typically collaborate with other departments while working remotely?

As a Remote Appeals Analyst, you’ll regularly collaborate with departments such as claims processing, customer service, and medical review teams through virtual meetings, email, and secure messaging platforms. Effective communication and organizational skills are crucial since you’ll often need to clarify details, gather documentation, and coordinate resolutions on appeal cases from a distance. Many organizations use workflow management software to streamline this collaboration, ensuring appeals are resolved efficiently while maintaining compliance and confidentiality.
More about Remote Appeals Analyst jobs
What cities are hiring for Remote Appeals Analyst jobs? Cities with the most Remote Appeals Analyst job openings:
What are the most commonly searched types of Appeals Analyst jobs? The most popular types of Appeals Analyst jobs are:
What states have the most Remote Appeals Analyst jobs? States with the most job openings for Remote Appeals Analyst jobs include:
What job categories do people searching Remote Appeals Analyst jobs look for? The top searched job categories for Remote Appeals Analyst jobs are:
Remote Appeals Analyst jobs near you
Infographic showing various Remote Appeals Analyst job openings in the United States as of June 2026, with employment types broken down into 74% Full Time, 5% Part Time, 5% Temporary, and 16% Contract. Highlights an 100% Remote job distribution, with an average salary of $71,216 per year, or $34.2 per hour.
Managed Care Appeals Analyst

Managed Care Appeals Analyst

Elevate Patient Financial Solutions

Remote

$23 - $28.28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Elevate Patient Financial Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

Job description

Elevate Patient Financial Solutions has an exciting career opportunity available as a Managed Care Appeals Analyst. This position will be located Remote Work from Home The full time schedule for the position will be Monday - Friday 8:00am -5:00pm time zone to be determined.
Job Summary
The Managed Care Appeals Analyst will research closed - $0 balance accounts for underpayment amounts due from payors per established contracts. Appeal Analysts ensure that payments made are accurate and in full per the contract agreements identifying and reporting payor trends through established policies amp; procedures. This position also creates 1st and 2nd level appeals when accounts are not reimbursed according to established contracts.
Essential Duties and Responsibilities
  • Perform daily, systematic reviews of $0 balance accounts for the appropriate contractual reimbursement.
  • Post adjustments and patient responsibility at time of account review.
  • Use payor contract, remit, and audit note to troubleshoot and/or identify reimbursement efficiencies.
  • Create high level, detailed appeals that specifically identify what service(s) were not paid accurately and locate supporting information in the payor contract to submit with the appeal.
  • Contact identified payor sources to confirm eligibility, coordination of benefits, patient responsibility, DRG, APR-DRG, and any other denial or claims issue not clearly identified or understood.
  • Navigate payor portals to verify eligibility, claim status, coordination of benefits, track and monitor submitted appeals.
  • Monitor payments for accuracy, contacting payor to resolve outstanding amounts, recoupments, RAC Audits, or overpayments.
  • Accurately document outcome of all research and work performed on accounts in the system in accordance with Standard Operating Procedures.
  • Consistently meet the current productivity standards in ensuring accounts are appealed properly and accurately as assigned by leadership.
  • Enhance professional growth and development through bridge online learning, and weekly team meetings.
  • Complies with client, departmental, and organizational policies and procedures as they relate to the job.
  • Refers complex or sensitive issues to the attention of the supervisor to ensure corrective measures are taken in a timely fashion.
  • Accepts and learns new tasks as required and demonstrates a willingness to work where business needs are largest.
  • Demonstrate knowledge of HIPAA privacy standards and ensure compliance with system PHI privacy practices.
  • Be cross trained in multiple clients and hospital system platforms.
  • Communicate in a professional with fellow coworkers, clinical staff, coders, supervisors, and representatives from payor organizations.
  • Follow departmental guidelines for lunch, breaks, requesting time off, and shift assignments.
  • Regular and timely attendance.
  • Perform other duties as assigned.
Qualifications and Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
  • Associate or bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or closely related field or in lieu of degree, four (4) additional years of relevant work experience may be considered.
  • Minimum of one (1) year healthcare related experience in auditing.
  • 4+ years recent revenue cycle, hospital reimbursement, Ambulatory Surgical Center, Behavioral Health, third party payor contracting, and appeals writing.
  • 4+ years proficient knowledge of reimbursement methodologies such as DRG, EAPG, OPPS and APC.
  • 4+ years analyzing claims data applying knowledge of medical policy such as NCCI and MUE edits to determine details of overpayments.
  • Intermediate skills in Microsoft applications: spreadsheets, word processing, data base applications, and knowledge of billing system applications preferred.
  • Basic understanding of HIT systems like EPIC, Cerner, Meditech, Paragon and other billing systems.
  • Ability to identify, understand and use general medical billing terminology including: UB04, CPT Codes, ICD10 codes, DRG codes APR-DRG Codes, EOB, RA.
  • Must be able to formulate and write formal business communications to commercial and governmental payors.
  • Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria.
Benefits

ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
  • Medical, Dental amp; Vision Insurance
  • 401K (100% match for the first 3% amp; 50% match for the next 2%)
  • 15 days of PTO
  • 7 paid Holidays
  • 2 Floating holidays
  • 1 Elevate Day (floating holiday)
  • Pet Insurance
  • Employee referral bonus program
  • Teamwork: We believe in teamwork and having fun together
  • Career Growth: Gain great experience to promote to higher roles
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Elevate, PFS is an Equal Opportunity Employer

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