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Remote Appeals Jobs in Edison, NJ (NOW HIRING)

MedReview

Appeals Specialist

Manhattan, NY · Remote

The Appeals Specialist I is responsible for performing triage, review, analysis, and resolution of ... frequent interruptions Remote Work Requirements * High speed internet (100 Mbps per person ...

MedReview

Appeals Specialist

Manhattan, NY · On-site +1

$50K/yr

The Appeals Specialist I is responsible for performing triage, review, analysis, and resolution of ... frequent interruptions Remote Work Requirements * High speed internet (100 Mbps per person ...

Brookdale Associates

Be Seen First

Clinical Review Nurse

Manhattan, NY · Remote

$55 - $60/hr

Job Title: Registered Nurse - Clinical Review Outpatient Review RN for Grievances & Appeals ... Remote or flexible depending on organizational needs.

Mercor

Denials Management Expert - Analytics

New York, NY · 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 ...

Medix

Billing Specialist (Hospital)

Lawrence, NJ · Remote

$23 - $26/hr

Billing Specialist - Hospital Fully Remote | $23-$26/hr | Contract-to-Hire | Full-Time Medix is ... Process claim reconsiderations and appeals * Identify recurring denials, payment trends, and ...

New

10% Media

Social Media Manager (Remote)

New York, NY · Remote

All 10% Media employees are remote, but the Social Media Manager should live in or around New York ... appeal. * Draft effective captions and social-first copy that reflect Dan's voice and the 10% ...

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All JobsAppeals JobsRemote Appeals JobsRemote Appeals Jobs in Edison, NJ

Remote Appeals information

See Edison, NJ salary details

$31.6K

$89.5K

$119.6K

How much do remote appeals jobs pay per year?

As of Aug 28, 2026, the average yearly pay for remote appeals in Edison, NJ is $89,529.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,800.00 and $102,000.00 per year, depending on experience, location, and employer.

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 Edison, NJ?

The most popular types of Appeals jobs in Edison, NJ are:

What are popular job titles related to Remote Appeals jobs in Edison, NJ?

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

What job categories do people searching Remote Appeals jobs in Edison, NJ look for?

The top searched job categories for Remote Appeals jobs in Edison, NJ are:

What cities near Edison, NJ are hiring for Remote Appeals jobs?

Cities near Edison, NJ with the most Remote Appeals job openings:

Remote Appeals jobs near you
Infographic showing various Remote Appeals job openings in Edison, NJ as of August 2026, with employment types broken down into 4% Internship, 75% Full Time, 8% Part Time, and 13% Contract. Highlights an 29% In-person, and 71% Remote job distribution, with an average salary of $89,529 per year, or $43 per hour.

Appeals Specialist

MedReview

Manhattan, NY • Remote

Full-time

Posted 20 days ago

Job description

Position Summary  

At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. 

The Appeals Specialist I is responsible for performing triage, review, analysis, and resolution of facility-submitted appeals, involving non-clinical appeals, and clinical appeals where no new clinical information is received for review. The role focuses on payment, reimbursement, and administrative determinations. Ensuring appeals are processed accurately, thorough, timely and in compliance with client and organization requirements.   

Responsibilities 

This list does not represent all responsibilities for this position. Candidate must understand and be willing and able to assume roles and responsibilities other than these to meet the needs of the department and MedReview in general. 

  • Triage admin appeals to validate appropriateness for review and workflow to follow. Route appeals appropriately when new information is received that’d warrant a clinical review   

  • Process non-clinical facility appeals including payment disputes, reimbursement amounts, contract interpretation, processing errors. Analyze payment history, contracts, in client(s) applications  

  • Process clinical appeals when no new clinical information is submitted 

  • Determine appeal decisions in accordance with existing policies from client and/or organization  

  • Provide clear, thorough, and accurate appeal responses  

  • Coordinate and communicate with Clinical Review teams when new clinical information is received or when escalation is required  

  • Communicate with various stakeholders to bring forth emergent matters or trends  

Qualifications 

  • Associate degree (healthcare field preferred) or an equivalent combination of education, and relevant work experience  

  • 1 year experience working in healthcare claims, appeals, billing or revenue cycle  

  • Experience in handling administrative review of clinical appeals  

  • Strong professional judgement and escalation awareness with the ability to analyze case details to make timely and sound decisions  

  • Ability to quickly learn and navigate new systems and platforms 

  • Basic understanding of claims adjudication process and terms  

  • Excellent written and verbal communication skills for effective interaction with diverse stakeholders 

  • Ability to manage tasks, and prioritize work in an effective way  

  • High attention to detail and document accuracy 

  • Proficiency in MS Office applications (Outlook, Excel, Word) 

  • Must be able to multitask, manage high volume case load, and work in a challenging environment to meet strict time sensitive deadlines 

  • Ability to work independently  

  • Must show patience and the ability to remain calm under pressure in an atmosphere of frequent interruptions 

Remote Work Requirements 

  • High speed internet (100 Mbps per person recommended) with secured WIFI.  

  • A dedicated workspace with minimal interruptions to protect PHI and HIPAA information. 

  • Must be able to sit and use a computer keyboard for extended periods of time. 

Salary: $50,000

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