ZipRecruiter

Log In

2

Remote Appeals Grievances Jobs (NOW HIRING)

Medix

Appeals and Grievances Specialist

Jersey City, NJ · Remote

$20 - $24/hr

Appeals & Grievances Specialist - Remote Pay: $20-$24/hour Location: 100% Remote - Must reside in NY, NJ, or CT Schedule: 35 hours/week Contract: Approximately 4 months, contract-to-hire Start:

New

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$59.50 - $71.75/hr

Remote Appeals Pharmacist - Fair Medication Access Work from home in a fully remote appeals ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

Pharmacy Careers

Appeals Pharmacist (Remote)

$58.50 - $71.50/hr

Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus ... Review clinical documentation for medication coverage appeals and grievances. * Apply plan policies ...

next page

Showing results 1-20

All Jobsremote JobsLegal JobsLaw Office and Legal Clinic JobsParalegal JobsRemote Appeals Grievances Jobs

Remote Appeals Grievances information

See salary details

$30.5K

$86.5K

$115.5K

How much do remote appeals grievances jobs pay per year?

As of Sep 6, 2026, the average yearly pay for remote appeals grievances 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 is a remote appeals grievances specialist?

Remote Appeals Grievances jobs involve handling complaints or appeals from clients, patients, or customers regarding decisions made by an organization, typically in the healthcare or insurance industries. Professionals in these roles review cases, gather necessary information, and ensure compliance with regulations and company policies while working from a remote location. Their main goal is to resolve disputes fairly and efficiently, often communicating directly with clients and coordinating with other departments. These positions require strong communication, analytical, and organizational skills.

What skills and qualifications are needed to thrive as a remote appeals grievances specialist?

To thrive as a Remote Appeals Grievances Specialist, you need a solid understanding of healthcare regulations, strong analytical skills, and experience with claims processing, often supported by a background in healthcare administration or a related field. Familiarity with case management software, Medicare/Medicaid guidelines, and secure electronic document management systems is typically required. Excellent written communication, attention to detail, and problem-solving abilities are standout soft skills for this position. These skills are crucial for ensuring regulatory compliance, timely resolution of appeals, and maintaining member satisfaction within complex healthcare environments.

What are common challenges faced by remote appeals grievances specialists and how can they be managed?

Remote Appeals Grievances specialists often face challenges such as interpreting complex policy guidelines, managing high caseloads, and ensuring timely, accurate responses to appeals. Working remotely can add to these challenges by requiring strong self-motivation and effective virtual communication with team members and stakeholders. To manage these hurdles, it's important to be highly organized, stay current on policy updates, and proactively use collaboration tools to reach out for clarification or support. Regular team check-ins and clear documentation practices can also help maintain accuracy and efficiency in the remote setting.

What is the difference between Remote Appeals Grievances vs Remote Customer Service Representative?

AspectRemote Appeals GrievancesRemote Customer Service Representative
Primary RoleHandling appeals and grievances related to policies or claimsAssisting customers with inquiries, product info, and support
Required SkillsKnowledge of policies, conflict resolution, communicationCommunication skills, product knowledge, problem-solving
Work EnvironmentHome-based, often in healthcare, insurance, or government sectorsHome-based, retail, telecom, or service industries
Common CertificationsClaims or customer service certifications often preferredCustomer service certifications beneficial

Remote Appeals Grievances specialists focus on resolving disputes and appeals related to policies, claims, or benefits, often requiring specific industry knowledge. Remote Customer Service Representatives handle general customer inquiries and support across various industries. While both roles are remote and customer-focused, Appeals Grievances roles involve more specialized knowledge of policies and dispute resolution processes.

More about Remote Appeals Grievances jobs

What cities are hiring for Remote Appeals Grievances jobs?

Cities with the most Remote Appeals Grievances job openings:

What are the most commonly searched types of Appeals Grievances jobs?

The most popular types of Appeals Grievances jobs are:

What states have the most Remote Appeals Grievances jobs?

States with the most job openings for Remote Appeals Grievances jobs include:

What job categories do people searching Remote Appeals Grievances jobs look for?

The top searched job categories for Remote Appeals Grievances jobs are:

Remote Appeals Grievances jobs near you
Infographic showing various Remote Appeals Grievances job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 7% Part Time, and 3% Contract. Highlights an 80% Physical, 6% Hybrid, and 14% Remote job distribution, with an average salary of $86,480 per year, or $41.6 per hour.

Appeals and Grievances Specialist

Medix

Jersey City, NJ • Remote

$20 - $24/hr

Contractor

Posted 3 days ago

New

Job description

Appeals & Grievances Specialist - Remote

Pay: $20-$24/hour

Location: 100% Remote - Must reside in NY, NJ, or CT

Schedule: 35 hours/week

Contract: Approximately 4 months, contract-to-hire

Start: Within 2 weeks of offer

About the Role

Medix is hiring an Appeals & Grievances Specialist to support a managed care organization serving Medicare and Medicaid members.

This is a fully remote, non-clinical role focused on reviewing, researching, documenting, and resolving healthcare grievances and appeals.

The ideal candidate has prior Grievance & Appeals experience, ideally within a health plan, managed care organization, hospital, or health system.

Responsibilities

  • Manage assigned grievances and appeals from intake through resolution
  • Review member records, claims, authorizations, UAS information, and supporting documentation
  • Research cases and identify relevant information
  • Prepare acknowledgement, determination, and decision letters
  • Conduct outbound calls to communicate grievance and appeal decisions
  • Clearly explain unfavorable or denied determinations when required
  • Document all case activity, calls, findings, and outcomes
  • Ensure cases are completed within regulatory and departmental deadlines
  • Maintain accurate electronic case files
  • Manage a high-volume workload while maintaining quality and accuracy

Team members may complete approximately 10 letters and/or outbound calls per day, depending on workload.

Required Qualifications

  • Previous healthcare Grievance & Appeals and/or Appeals experience required
  • 2-3+ years of healthcare, insurance, managed care, hospital, or health system experience
  • Strong written and verbal communication skills
  • Strong attention to detail and documentation accuracy
  • Ability to manage multiple cases and strict deadlines
  • Comfortable making frequent outbound member calls
  • Strong computer skills and ability to navigate multiple systems
  • Microsoft Word and Excel proficiency
  • Ability to work independently in a remote environment

Schedule

This is a 35-hour workweek.

Saturday and Sunday availability is required. Candidates will have flexibility to take two days off during Monday-Friday.

Position Details

  • Pay: $20-$24/hour
  • Remote: NY, NJ, or CT residents only
  • Contract: Approximately 4 months
  • Conversion: Strong permanent potential based on performance
  • Start: Within 2 weeks of offer
  • Payroll: Weekly through Medix
  • Equipment: Company-issued equipment provided
  • Hiring Process: Interviews are taking place immediately

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

View All Medix Staffing Solutions Jobs