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How much do weekend clinical appeals analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for weekend clinical appeals analyst in the United States is $39.80, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.67 per hour, depending on experience, location, and employer.

What is a weekend clinical appeals analyst?

A Weekend Clinical Appeals Analyst is a healthcare professional responsible for reviewing and analyzing clinical appeals and denials submitted by patients or providers, specifically during weekend shifts. They assess medical records, apply relevant guidelines, and determine whether denied medical claims should be overturned based on clinical evidence and insurance policies. Their role ensures that patients receive fair consideration for coverage even outside of standard weekday hours. This position typically requires strong analytical skills, knowledge of medical terminology, and experience with insurance or healthcare regulations.

What are the key skills and qualifications needed to thrive as a weekend clinical appeals analyst?

To thrive as a Weekend Clinical Appeals Analyst, you need a solid background in healthcare, clinical knowledge, and familiarity with medical terminology, often supported by a nursing or related healthcare degree. Competence in using healthcare claims systems, electronic medical records (EMRs), and knowledge of regulatory guidelines like Medicare or Medicaid is typically required. Outstanding analytical thinking, attention to detail, and strong written communication set top performers apart in this role. These skills ensure accurate, timely appeals processing and effective advocacy for patient care compliance during critical weekend hours.

What are the common challenges faced by weekend clinical appeals analysts and how can applicants prepare for them?

Weekend Clinical Appeals Analysts often encounter challenges such as tight deadlines, high case volumes, and the need to interpret complex medical documentation accurately. Since weekend shifts may have limited support staff or resources, strong independent problem-solving skills and the ability to prioritize tasks are crucial. Applicants can prepare by familiarizing themselves with common insurance guidelines, honing their analytical abilities, and developing effective communication strategies for collaborating remotely with physicians and other healthcare professionals.

What is the difference between Weekend Clinical Appeals Analyst vs Weekend Claims Reviewer?

AspectWeekend Clinical Appeals AnalystWeekend Claims Reviewer
Required CredentialsHealthcare-related certifications, clinical knowledgeInsurance or claims processing certifications
Work EnvironmentHealthcare facilities, insurance companiesInsurance companies, third-party administrators
Industry UsageHealthcare, insuranceInsurance, healthcare reimbursement
Common Search IntentAppeals, clinical review, patient careClaims processing, reimbursement, audit

The Weekend Clinical Appeals Analyst primarily handles patient appeals related to clinical decisions, requiring healthcare knowledge and clinical certifications. In contrast, the Weekend Claims Reviewer focuses on reviewing insurance claims for accuracy and reimbursement. Both roles operate in healthcare and insurance environments but serve different functions within the claims and appeals process.

More about Weekend Clinical Appeals Analyst jobs
What cities are hiring for Weekend Clinical Appeals Analyst jobs? Cities with the most Weekend Clinical Appeals Analyst job openings:
What are the most commonly searched types of Clinical Appeals Analyst jobs? The most popular types of Clinical Appeals Analyst jobs are:
What states have the most Weekend Clinical Appeals Analyst jobs? States with the most job openings for Weekend Clinical Appeals Analyst jobs include:
What job categories do people searching Weekend Clinical Appeals Analyst jobs look for? The top searched job categories for Weekend Clinical Appeals Analyst jobs are:
Weekend Clinical Appeals Analyst jobs near you
Infographic showing various Weekend Clinical Appeals Analyst job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $82,791 per year, or $39.8 per hour.

Medicare Clinical Appeals Reviewer III

St. George Tanaq Corporation

Montgomery, AL • On-site

Other

Posted 5 days ago

Job description

Medicare Clinical Appeals Reviewer III

Fully Remote-United States

Job Type

Full-time

Description

Overview

Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders.

About the Role

We are seeking a Medicare Clinical Appeals Reviewer III (Dispute Resolution Reviewer III) to support our federal client. The Medicare Clinical Appeals Reviewer III is a licensed clinician who independently evaluates complex Medicare appeals and dispute cases, reviews clinical documentation, interprets federal regulations, and issues appeal determinations supported by medical evidence and policy.

They will also provide independent second-level determinations and dispute resolutions based on documentation, facts, laws, regulations, and applicable guidelines. This role works under general supervision with moderate latitude for initiative and independent judgment.

This is a remote position. Candidates must be based in the United States and able to work Eastern, Central, or Mountain Time Zone business hours with availability to work on a rotating schedule on weekends and holidays.

Required: Active, unrestricted license in good standing as an RN, PT, RT, OT, or other qualifying licensed healthcare professional. Licenses with restrictions or encumbrances are not eligible.

Responsibilities

  • Review the medical records/case file, write a reconsideration/dispute resolution decision that is clear, concise, and impartial, supports the determination made, and documents the review.

  • Make fair, impartial, and independent decisions based on current medical evidence, statutes, regulations, rulings, policies, and procedures.

  • Respond to and ensure that all appeal/dispute issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed.

  • Conduct research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to make an accurate, well-supported decision.

  • Stay abreast of changes in regulations, medical and healthcare practices, policies, and procedures.

  • Participate in case-specific verbal discussions.

  • Conduct reviews of appeals/disputes involving multiple beneficiaries/services in a single case.

  • Plan responses to statistical analysis challenges with assistance from statisticians.

  • Attend meetings and participate in workgroups at management's direction.

  • Serve as a subject matter expert.

  • Mentors and/or trains staff.

  • Conduct quality reviews and audits, as needed.

  • Participate in special projects and perform other duties as assigned.

Requirements

Required Experience and Skills

  • Must have 2-3 years of experience in medical dispute resolution, Medicare appeals, medical review, clinical review, or a related healthcare setting.

  • Must have Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience. Licensed candidates with closely related clinical or medical experience may be considered.

  • Demonstrated experience writing or making appeal or payment determinations

  • Experience using Microsoft 365, including Excel and Word.

  • Must be able to pass Federal and state criminal background checks, as required by client.

  • Must be able to pass education, certification and license verification, as well as other professional background checks, as required by client.

  • Must be able to pass drug screen, as required by client.

  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

Preferred Qualifications

  • Medicare appeals, medical review, healthcare compliance review, or independent dispute resolution.

  • Experience making determinations on appeals, payments, billing, or dispute resolution.

  • Experience working with or supporting a federal public health agency environment.

  • Patient-Provider Dispute Resolution or Independent Dispute Resolution experience.

  • Coding certification.

Education and Training

  • Must be an actively licensed healthcare professional with Nursing, Physical Therapy, Respiratory Therapy, Occupational Therapy, or closely related clinical experience.

Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally.

Who We Are

Tanaq Support Services (TSS) is a public health contractor and certified 8(a) business owned by St. George Tanaq Corporation, an Alaska Native Corporation (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to develop effective solutions.

Our commitment to non-discrimination

Tanaq Support Services is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-Free Workplace Act of 1988 and participates in E-Verify.

If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications.

Notice on candidate AI usage

Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills, and education. To protect the integrity of the interview process, candidates may not use artificial intelligence (AI) tools to generate or assist with responses during phone, in-person, or virtual interviews. Candidates who require a reasonable accommodation that may involve AI must contact us before their interview at accommodation@tanaq.com.

To view this and all our job postings, visit us at:

https://recruiting.paylocity.com/recruiting/jobs/All/a4712c9f-f074-40e8-9a14-bee06660bd81/Tanaq-Support-Services-LLC

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