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Remote Appeals Representative Jobs (NOW HIRING)

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to ...

Evergreen Health

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to ...

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How much do remote appeals representative jobs pay per hour?

As of Jul 4, 2026, the average hourly pay for remote appeals representative in the United States is $24.55, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $28.85 per hour, depending on experience, location, and employer.

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

AspectRemote Appeals RepresentativeRemote Customer Service Representative
Required CredentialsHigh school diploma or equivalent; some roles may require knowledge of appeals processesHigh school diploma or equivalent; customer service experience often preferred
Work EnvironmentHome-based, handling appeals cases for insurance, healthcare, or government agenciesHome-based, assisting customers with inquiries, billing, and product support
Employer & IndustryInsurance companies, healthcare providers, government agenciesRetail, telecommunications, service providers
Common Search & ComparisonAppeals process, claims review, dispute resolutionCustomer support, help desk, client assistance

The Remote Appeals Representative focuses on reviewing and resolving appeals related to claims or benefits, requiring specific knowledge of appeals procedures. In contrast, the Remote Customer Service Representative handles general customer inquiries and support. Both roles are remote, but they serve different functions within their industries.

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

To thrive as a Remote Appeals Representative, you need a solid understanding of healthcare policies, claims processing, and insurance guidelines, often supported by experience in medical billing or a related field. Familiarity with claims management software, electronic health records (EHRs), and proficiency in Microsoft Office Suite are typically required. Exceptional attention to detail, strong written communication, and problem-solving skills help individuals excel in this role. These abilities are crucial for accurately reviewing, processing, and resolving appeals while ensuring compliance and member satisfaction.

How does a Remote Appeals Representative typically collaborate with other departments to resolve complex cases?

As a Remote Appeals Representative, you will frequently interact with departments such as claims processing, medical review, and customer service to gather necessary information and clarify case details. Collaboration often involves virtual meetings, secure messaging, and shared documentation platforms to ensure all stakeholders are aligned and have access to relevant data. This cross-functional teamwork is essential for resolving complex or escalated appeals efficiently while maintaining compliance with company and regulatory standards.

What does a Remote Appeals Representative do?

A Remote Appeals Representative reviews and processes appeals from customers, often related to insurance claims, billing disputes, or service denials. They work from a remote location, communicating with clients, healthcare providers, or other stakeholders to gather necessary information and documentation. Their primary role is to assess the validity of appeals, ensure compliance with company policies and regulations, and provide clear resolutions. Attention to detail, strong communication skills, and knowledge of relevant laws and procedures are essential for this job.
What cities are hiring for Remote Appeals Representative jobs? Cities with the most Remote Appeals Representative job openings:
What are the most commonly searched types of Appeals Representative jobs? The most popular types of Appeals Representative jobs are:
What states have the most Remote Appeals Representative jobs? States with the most job openings for Remote Appeals Representative jobs include:
Remote Appeals Representative jobs near you
Remote Insurance Follow-Up Representative

Remote Insurance Follow-Up Representative

Annuity Health

Remote

$16 - $26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 hours ago

Annuity Health rating

6.4

Company rating: 6.4 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

299th of 437 rated business services

Job description

Job Type
Full-time
Description
A Remote Insurance Follow-Up Representative will be responsible for all collection functions for hospital and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with insurance companies on claim status, gathering and submitting any missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed.
Duties/Responsibilities
  • Provide customer service to various healthcare contract customers
  • Prepare, research and collect from various contracted health insurance payers
  • Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
  • Provide or arrange for additional information when needed
  • Submit corrected claims or appeals
  • Request appropriate adjustments, when required
  • Identify items that require client assistance
  • Gather payor trends and provides feedback
  • Other duties as assigned

Required Skills/Knowledge
  • EPIC experience preferred
  • Microsoft Office
  • Knowledge in government and non-government billing guidelines for facility/physician
  • Knowledge in account/claim status, resolution and appeals process
  • Knowledge of the UB04 and HCFA forms
  • Excellent customer service and time management skills
  • High attention to detail required
  • Excellent verbal, written, and electronic communication skills required

Education/Experience
  • High school diploma or General Education Development (GED) certificate required
  • One to Two years of college preferred
  • Minimum of three years of experience preferred
  • Prior medical billing and insurance collections or healthcare revenue cycle experience preferred

Benefits
Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k).
Salary Description
Pay Scale - $16.00 to $26.00

What Annuity Health employees say

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