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Remote Appeals Jobs in Texas (NOW HIRING)

CERiS

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 appeals in accordance with client policy, CMS guidelines and industry standards in clear and ...

CERiS

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and ...

Corvel

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 appeals in accordance with client policy, CMS guidelines and industry standards in clear and ...

Corvel

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and ...

UnitedHealth Group

Appeals Representative

Dallas, TX · Remote

$18 - $32/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... Communicate appeal or grievance information to members or providers and internal/external parties ...

Mercor

Appeals Manager - AI Trainer

Dallas, TX · Remote

$70 - $93/hr

Remote Role Responsibilities * Lead denials management and appeals operations. Oversee identification, categorization, and resolution of claim denials. * Evaluate AI-generated appeal letters, denial ...

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Remote Appeals information

What is a remote appeals?

A Remote Appeals job involves reviewing and processing appeals related to denied claims, decisions, or disputes, typically in industries like healthcare, insurance, or financial services. Professionals in this role analyze appeal cases, gather necessary documentation, and communicate with relevant parties to ensure fair resolutions. They often work remotely, using digital tools to assess appeals, follow regulations, and meet deadlines. Strong attention to detail, knowledge of industry policies, and communication skills are essential for success in this role.

What are the key skills and qualifications needed to thrive in the remote appeals position?

To thrive as a Remote Appeals professional, you need expertise in reviewing and processing appeals, a solid understanding of compliance or regulatory guidelines, and relevant industry experience, often in insurance, healthcare, or legal fields. Familiarity with case management software, document management systems, and standard office tools like Microsoft Office or Google Workspace is essential. Strong analytical abilities, attention to detail, effective written communication, and problem-solving skills help you stand out in this position. These capabilities ensure accurate, efficient appeal resolution and positive experiences for clients or claimants in a remote work environment.

What are typical challenges faced by remote appeals professionals, and how do teams address them?

Remote Appeals professionals often navigate complex regulations, tight deadlines, and high volumes of cases, which can be challenging without direct, in-person team support. Teams typically address these by using structured workflows, regular video meetings, and clear communication channels to ensure consistency and collaboration. Many employers provide comprehensive training and accessible digital resources to help remote staff stay updated on policies and best practices. By fostering a supportive virtual environment, organizations help Remote Appeals specialists efficiently manage their caseloads and maintain high-quality work standards.

What are the most commonly searched types of Appeals jobs in Texas?

The most popular types of Appeals jobs in Texas are:

What are popular job titles related to Remote Appeals jobs in Texas?

For Remote Appeals jobs in Texas, the most frequently searched job titles are:

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

The top searched job categories for Remote Appeals jobs in Texas are:

What cities in Texas are hiring for Remote Appeals jobs?

Cities in Texas with the most Remote Appeals job openings:

Remote Appeals jobs near you
Infographic showing various Remote Appeals job openings in Texas as of August 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 78% Physical, 8% Hybrid, and 14% Remote job distribution.

Appeals Representative II

Fort Worth, TX • On-site, Remote

CERiS
Health Care and Social Assistance • 51 - 200 employees
Learn more about CERiSexternal

$18.80 - $30.34/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards along with CMS and state guidelines as well as client instructions.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
  • Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication
  • Ability to appropriately interpret provider appeals and apply analytical thinking skills
  • Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill
  • Utilize applicable tools and resources to complete appeals
  • Timely completion of appeals
  • Additional duties as assigned

KNOWLEDGE & SKILLS:
  • Prior knowledge of inpatient and outpatient hospital revenue cycle required
  • Excellent written and verbal communication skills
  • Contract interpretation, medical terminology and coding knowledge
  • Proficiency with Microsoft applications

EDUCATION & EXPERIENCE:
  • High school diploma or equivalent
  • 3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)
  • 2+ years working with customers in a fast-paced, deadline-oriented environment
  • 2+ years experience as an Appeals Representative
  • Strong attention to detail, organizational and time management skills with the ability to
  • interpret, research and identify core issues
  • Strong customer focus, analytical and decision making skills
  • Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home

PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $18.80 - $30.34 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CERiS:
CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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About CERIS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1990

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