ZipRecruiter

Log In

2

Remote Appeals Analyst Jobs (NOW HIRING)

Ageatia Global Solutions

Nurse, Clinical Appeals

The role is fully remote and requires an active Registered Nurse (RN) license. Key Responsibilities ... analytical assessment - Proficient Microsoft Office Suite (Word, Excel, Outlook) - Proficient ...

UMR

Appeals M.D. - Oncologist Required - Remote

$248K - $373K/yr

  • Retirement

Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care ... Proven data analysis and interpretation skills * Proven excellent presentation skills for both ...

Moda Health

Appeal Coordinator I, Govt Programs

Milwaukie, OR · On-site +1

$21.30 - $23.96/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigate and respond to medical, pharmacy and dental grievances, complaints, appeals, and ... Demonstrated initiative, analytical, problem solving, and organizational skills. * 10 key ...

CareFirst

Clinical Appeals Nurse (Remote)

Baltimore, MD · Remote

  • Retirement

The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider appeals regarding adverse coverage decisions and grievances. The Clinical Appeals Nurse utilizes ...

Med-Metrix

Licensed Appeal Writer - Remote

Garden City, NY · On-site +1

$75K - $85K/yr

Create written appeals * Manage and organize appeal workflow based on internal, client-based, and ... Must possess a high level of reading comprehension and ability to analyze medical information and ...

CareFirst

Clinical Appeals Nurse (Remote)

Baltimore, MD · Remote

  • Retirement

The Clinical Appeals Nurse completes research, basic analysis, and evaluation of members and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes ...

CorroHealth

Coordinator, P2P Appeals

$22.50 - $28/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... Remote (Within US Only) Required Schedule: Monday - Friday, 11:00 AM - 8:00 PM EST Essential ...

previous page

Showing results 41-60

All JobsAppeals Analyst JobsRemote Appeals Analyst Jobs

Remote Appeals Analyst information

See salary details

$37K

$71.2K

$110.5K

How much do remote appeals analyst jobs pay per year?

As of Aug 13, 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?

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 August 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.

Nurse, Clinical Appeals

Ageatia Global Solutions

Remote

Other

Posted 10 days ago

Job description

Clinical Appeals Nurse

We are seeking an experienced Clinical Appeals Nurse to support the appeal and grievance processes by analyzing and responding to adverse coverage decisions. This role involves clinical judgment, regulatory knowledge, and strong communication skills to ensure all responses meet State and Federal compliance requirements. The role is fully remote and requires an active Registered Nurse (RN) license.

Key Responsibilities
  • Investigate and interpret written appeals from members, providers, attorneys, and other stakeholders
  • Craft original response letters based on corporate policy and regulations
  • Ensure compliance with all applicable State and Federal mandates
  • Compile and organize relevant clinical, contractual, and policy documentation
  • Formulate case summaries and recommendations
  • Communicate final decisions post-physician review, including external appeal rights
  • Evaluate medical and behavioral health appeal requests using clinical expertise
  • Interpret regulatory/accreditation guidelines to ensure proper case handling
  • Collaborate with Independent Review Organizations and panel physicians
  • Address complaints from CMS and other regulatory bodies
  • Maintain up-to-date knowledge of medical, psychiatric, surgical, and diagnostic terminology
  • Understand complications and comorbidities related to medical and behavioral health conditions
Required Qualifications
  • High School Diploma (or equivalent)
    • 2 years in medical-surgical or similar clinical setting
    • OR 3 years in mental health/psychiatric care
  • RN – Registered Nurse, with active State or Compact Licensure (Required)
Preferred Qualifications
  • Experience with Medical Review, Utilization Management, or Case Management at a Managed Care Organization (MCO) or hospital
  • BSN or MSN degree preferred
  • CCM (Certified Case Manager) – Preferred
  • LNCC (Legal Nurse Consultant Certified) – Preferred
Key Skills and Competencies

Medical terminology & procedural knowledge - Advanced

Appeals process & regulatory guidelines - Proficient

Verbal & written communication - Proficient

Customer service and stakeholder communication - Advanced

Critical thinking and analytical assessment - Proficient

Microsoft Office Suite (Word, Excel, Outlook) - Proficient

Understanding of behavioral health and substance abuse treatment - Proficient

Ageatia Global Solutions logo

About Ageatia Global Solutions

Sourced by ZipRecruiter

Ageatia Global Solutions, located in Schaumburg, IL, US, is a reputable IT consultant company that offers a range of premium technical and IT staffing services across numerous industries. Its official website, ageatia.com, is a testament to its dedication to top-tier delivery. Since its inception in 2002, Ageatia has consistently provided optimal services specific to each client's needs. Ageatia's core competency lies in identifying and delivering expert engineers and IT professionals on contract and permanent placements. The company is known for maintaining a business model that ultimately focuses on solving client's workforce challenges. Ageatia's mission is to provide companies with the most skilled set of candidates, while also offering advancing opportunities to potential employees.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Schaumburg, IL, US

Year founded

2002

Social media

FacebookTwitter

View All Ageatia Global Solutions Jobs

Apply