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Remote Appeals Analyst Jobs in Decatur, GA (NOW HIRING)

Oscar Health

Analyst, Regulatory Affairs

Atlanta, GA · Remote

$28.30 - $37.15/hr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... appeals, or Regulatory team * Strong attention to detail with the ability to manage complex ...

Oscar Health

Analyst, Regulatory Affairs

Atlanta, GA · Remote

$28.30 - $37.15/hr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... appeals, or Regulatory team * Strong attention to detail with the ability to manage complex ...

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All JobsRemote Appeals Analyst JobsRemote Appeals Analyst Jobs in Decatur, GA

Remote Appeals Analyst information

See Decatur, GA salary details

$36.1K

$69.5K

$107.9K

How much do remote appeals analyst jobs pay per year?

As of Jun 29, 2026, the average yearly pay for remote appeals analyst in Decatur, GA is $69,531.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,000.00 and $84,900.00 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.
What are popular job titles related to Remote Appeals Analyst jobs in Decatur, GA? For Remote Appeals Analyst jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Appeals Analyst jobs in Decatur, GA look for? The top searched job categories for Remote Appeals Analyst jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Appeals Analyst jobs? Cities near Decatur, GA with the most Remote Appeals Analyst job openings:
Remote Appeals Analyst jobs near you
Infographic showing various Remote Appeals Analyst job openings in Decatur, GA as of June 2026, with employment types broken down into 69% Full Time, 14% Part Time, 4% Temporary, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $69,531 per year, or $33.4 per hour.

(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 7 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