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Remote Medicare Appeal Reviewer Jobs in Decatur, GA

Healthpilot Technologies LLC

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Independent Medicare Agent (Remote)

Atlanta, GA · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

Urrly

Telehealth Nurse Practitioner (Remote)

Atlanta, GA · Remote

$600 - $720/hr

... Medicare and Medicaid populations through virtual care. What you'll do * Conduct Comprehensive ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

Urrly

Telehealth Nurse Practitioner

Atlanta, GA · On-site +1

$600 - $720/day

Location/Type: Georgia Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

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All JobsMedicare Appeal Reviewer JobsRemote Medicare Appeal Reviewer JobsRemote Medicare Appeal Reviewer Jobs in Decatur, GA

Remote Medicare Appeal Reviewer information

See Decatur, GA salary details

$5

$25

$30

How much do remote medicare appeal reviewer jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote medicare appeal reviewer in Decatur, GA is $25.10, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $29.81 per hour, depending on experience, location, and employer.

What is a remote Medicare appeal reviewer?

A Remote Medicare Appeal Reviewer is a healthcare professional who evaluates and processes appeals related to Medicare claims, working from a remote location. Their primary responsibility is to review denied Medicare claims, analyze medical records and documentation, and determine whether the denial should be upheld or overturned based on Medicare guidelines and regulations. They collaborate with healthcare providers, patients, and insurance companies to ensure fairness and compliance. This role requires strong knowledge of Medicare policies, attention to detail, and excellent communication skills.

What are the key skills and qualifications needed to thrive as a remote Medicare appeal reviewer?

To thrive as a Remote Medicare Appeal Reviewer, you need a strong background in healthcare regulations, medical terminology, and experience with Medicare policies, typically supported by an RN, LPN, or similar clinical license. Familiarity with electronic medical record (EMR) systems, claims management software, and CMS guidelines is essential. Excellent analytical skills, attention to detail, and effective written communication are standout soft skills for this position. These abilities ensure accurate, timely decisions on appeals, compliance with federal regulations, and high-quality service for patients and providers.

What are some common challenges faced by remote Medicare appeal reviewers, and how can they be managed?

Remote Medicare Appeal Reviewers often encounter challenges such as interpreting complex medical documentation, staying updated with frequently changing Medicare regulations, and managing a high volume of appeals within tight deadlines. To navigate these challenges, strong organizational and time management skills are crucial, as well as ongoing training to remain current with policy updates. Regular communication with clinical staff, legal teams, and case managers is also essential to ensure accurate and timely decisions. Building a support network with colleagues and utilizing available resources can help reviewers maintain efficiency and accuracy while working remotely.

What is the difference between Remote Medicare Appeal Reviewer vs Remote Medical Claims Processor?

AspectRemote Medicare Appeal ReviewerRemote Medical Claims Processor
Required CredentialsHealthcare knowledge, certification in Medicare policies often preferredBasic healthcare or insurance knowledge, sometimes certification in claims processing
Work EnvironmentHome-based, healthcare or insurance company settingHome-based, insurance or healthcare organization
Employer & IndustryMedicare/Medicaid agencies, insurance companiesInsurance companies, healthcare providers
Common Search IntentUnderstanding roles related to Medicare appeals, remote healthcare jobsJobs involving processing medical claims remotely

The Remote Medicare Appeal Reviewer and Remote Medical Claims Processor roles both operate in the healthcare insurance industry and often work from home. However, the Appeal Reviewer focuses on evaluating Medicare appeal cases, requiring knowledge of Medicare policies, while the Claims Processor handles the processing of medical claims, often with less specialized certification. Both roles are essential in healthcare administration but differ in their specific responsibilities and required expertise.

What are popular job titles related to Remote Medicare Appeal Reviewer jobs in Decatur, GA?

For Remote Medicare Appeal Reviewer jobs in Decatur, GA, the most frequently searched job titles are:

What cities near Decatur, GA are hiring for Remote Medicare Appeal Reviewer jobs?

Cities near Decatur, GA with the most Remote Medicare Appeal Reviewer job openings:

Remote Medicare Appeal Reviewer jobs near you
Infographic showing various Remote Medicare Appeal Reviewer job openings in Decatur, GA as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $52,217 per year, or $25.1 per hour.

Independent Medicare Agent (Remote)

Healthpilot Technologies LLC

Atlanta, GA • Remote

$104K - $136K/yr

Contractor

Re-posted 7 days ago

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Job description

Independent Medicare Field Agent

Pay Range: Commission-based; varies by production and book size

Location: Remote

Company Overview

At Healthpilot, we're passionate about helping seniors get into the right Medicare plan. Picking coverage is one of the most important and most confusing decisions a senior will make. Too many are left on their own, bombarded by ads and stumbling into plans that don't fit their drugs, doctors, or budget. We're on a mission to be the resource seniors can count on for honest, personalized Medicare guidance, year after year, as their needs and the plans around them change.

We're looking for licensed agents who share that passion: ambitious, customer-focused self-starters who want to help more seniors and build lasting client relationships. This is a role for agents who bring drive and hustle, and we'll back that growth with the AI-powered tools, the carrier network, and the platform support to help you succeed.

Why Join Healthpilot?

Uncapped Earning Potential

  • Full carrier commissions and renewals on business you generate
  • Flat fee plus yearly renewals on company-generated leads

A Smarter Platform Built for Modern Agents

  • Client-facing needs assessment captures drugs, doctors, and preferences before your appointment starts
  • AI reviews every plan, highlights what fits, and saves you hours of research
  • CRM, quoting, enrollment, SOA capture, and compliance documentation in a single tool to streamline your work.
  • Focus on sales and relationships, not data entry and paperwork

A Better Fit Means a Stronger Book

  • Clients in the right plan from day one stay year after year
  • Higher retention means fewer AEP switches and less rework every fall
  • Your book compounds in value over time, instead of churning

14+ Carriers Already Contracted

  • Humana, UnitedHealthcare, Aetna, WellCare, Essence, SCAN, Clover Health, HCSC, UPMC, and more

Who You Are

  • Active Health Insurance License in your resident state
  • AHIP 2026 certification (or willing to certify before AEP)
  • 1+ years selling Medicare Advantage or Medicare Supplement
  • Comfortable in a 100% commission, 1099 environment
  • Strong command of CMS Medicare Communications and Marketing Guidelines
  • Established lead sources or strong community presence
  • Experience with modern CRM and quoting platforms

Healthpilot is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.