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Remote Appeals Analyst Jobs (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

Appeals Specialist II

Manhattan, NY · On-site +1

$50K - $55K/yr

The Appeals Specialist level II performs research, investigation, and analysis of appeals ... frequent interruptions Remote Work Requirements * High speed internet (100 Mbps per person ...

Fully remote role (U.S.-based) with occasional travel for trainings, meetings, or on-site presence ... Proven ability to analyze denials, identify root causes, and resolve issues effectively * Strong ...

Fully remote role (U.S.-based) with occasional travel for trainings, meetings, or on-site presence ... Proven ability to analyze denials, identify root causes, and resolve issues effectively * Strong ...

The Appeals Specialist level II performs research, investigation, and analysis of appeals ... frequent interruptions Remote Work Requirements * High speed internet (100 Mbps per person ...

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Remote Appeals Analyst information

See salary details

$37K

$71.2K

$110.5K

How much do remote appeals analyst jobs pay per year?

As of Jul 24, 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:
Infographic showing various Remote Appeals Analyst job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $71,216 per year, or $34.2 per hour.
Appeals Manager - Fully Remote | Upto $93/hr

Appeals Manager - Fully Remote | Upto $93/hr

Mercor

San Francisco, CA • Remote

$93/hr

Full-time

Posted 22 days ago


Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Denials Management & Appeals Manager
Type: Contract
Compensation: $93/hour
Location: Remote

Role Responsibilities

  • Lead denials management and appeals operations. Oversee the identification, categorization, and resolution of claim denials.
  • Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention recommendations for accuracy and effectiveness.
  • Analyze denial trends by payer, denial code (CARC/RARC), and denial category to identify systemic root causes.
  • Develop and manage clinical and technical appeal strategies across multiple payer types.
  • Coordinate with clinical, coding, billing, and compliance teams to implement denial prevention initiatives.
  • Monitor denial management KPIs including denial rates, appeal overturn rates, revenue recovery, and days in A/R.
  • Ensure compliance with payer appeal requirements, CMS regulations, and timely filing deadlines.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role.
  • Deep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers.
  • Strong understanding of clinical and technical appeal processes including peer-to-peer reviews and external reviews.
  • Experience with denial analytics platforms and revenue cycle reporting tools.
  • Proficiency with EHR systems and billing platforms.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to evaluate appeal quality and identify errors in AI-generated denial management content.

Preferred

  • CPC, CCS, CRCR, or CHFP certification.
  • Experience with AI-assisted denial management platforms (e.g., Waystar, Experian Health, Nthrive).
  • Background in complex clinical appeals including medical necessity, experimental/investigational, and level of care denials.
  • Familiarity with AI tools and comfort evaluating AI-generated appeal and denial content.
  • Experience presenting denial management performance to revenue cycle leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.