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Work From Home Medical Appeals Jobs (NOW HIRING)

IQVIA

Work from Home

Tucson, AZ · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Boise, ID · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Grand Junction, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Cincinnati, OH · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Fort Collins, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Indianapolis, IN · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Littleton, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Cleveland, OH · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Little Rock, AR · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Colorado Springs, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

North Little Rock, AR · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Norfolk, VA · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Pittsburgh, PA · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Portland, OR · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Albuquerque, NM · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

IQVIA

Work from Home

Louisville, KY · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

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Work From Home Medical Appeals information

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$14

$28

$56

How much do work from home medical appeals jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for work from home medical appeals in the United States is $28.06, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $35.10 per hour, depending on experience, location, and employer.

What is a work from home medical appeals?

A Work From Home Medical Appeals job involves reviewing denied medical claims, analyzing reasons for denial, and submitting appeals to insurance companies to secure payment for healthcare providers. Professionals in this role typically have a background in medical billing, coding, or healthcare administration. They must understand insurance policies, medical terminology, and appeal processes. Strong attention to detail, communication skills, and knowledge of payer guidelines are essential. This job is often remote, allowing professionals to manage appeals and documentation from home.

What does a work from home medical appeals do?

As a Work From Home Medical Appeals specialist, your daily responsibilities usually include reviewing denied insurance claims, gathering relevant medical documentation, and preparing appeals letters or case summaries for resubmission. You may work closely with healthcare providers, insurance representatives, and other internal teams to clarify information and support cases. Time management and attention to detail are critical since you'll be handling multiple cases simultaneously and adhering to strict deadlines. Depending on your employer, you might also conduct follow-ups, track case statuses, and participate in ongoing team meetings virtually. This role offers a structured yet flexible work environment, making self-discipline and strong communication skills especially valuable.

What are the key skills and qualifications needed to thrive in work from home medical appeals?

To thrive as a Work From Home Medical Appeals professional, you need strong knowledge of medical terminology, claims processing, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with claims management software, insurance portals, and possibly certifications like CPC or CPMA are commonly required. Excellent written communication, analytical thinking, and organizational skills help you excel in advocating for patients while working independently. Mastery of these skills ensures accurate appeals handling, effective case resolution, and high-quality remote collaboration with healthcare teams and insurers.

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Work From Home Medical Appeals jobs near you
Infographic showing various Work From Home Medical Appeals job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $58,373 per year, or $28.1 per hour.

Appeals and Grievance Specialist - Work from Home

Sagility LLC

Remote

$18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

63rd of 72 rated call and contact centers

Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Appeals and Grievance Specialist - Work from Home
Job Description:
BroadPath, a Sagility Company, is hiring experienced Appeals and Grievance Specialists to join our remote team! The Appeals and Grievance Specialist reviews, investigates, and resolves complaints, grievances, and appeals submitted by members and providers. This role serves as a key point of contact throughout the resolution process while ensuring cases are handled accurately, thoroughly, and in compliance with applicable requirements. Schedules, pay rates, and program details may vary based on business needs and client assignment.
Compensation Highlights
  • Base Pay: Starting at $18 per hour
  • Pay frequency: Weekly pay

Schedule Highlights
  • Schedules can fall between the hours of Monday-Friday, 8:00 AM - 5:00 PM Pacific Time, and will be assigned based on business needs

Responsibilities
  • Manage and resolve complaints, grievances, and appeals from members and providers
  • Serve as the primary contact throughout the investigation and resolution process
  • Send acknowledgments and provide clear education on the grievance and appeal process
  • Gather relevant information and research case details to determine an appropriate resolution
  • Conduct fair, accurate, and timely case investigations
  • Communicate resolutions to appropriate internal and external parties
  • Ensure all required documentation is completed and maintained
  • Follow established policies, procedures, and regulatory requirements
  • Maintain productivity and quality standards in a structured workflow environment

Qualifications
  • 1+ year of Medicare Appeals and Grievance or Medicare Claims experience required
  • Experience with Medicare Part C or Part D preferred
  • Familiarity with Windows based computer systems and the ability to learn new applications
  • Strong technical and keyboarding skills
  • Excellent verbal and written communication skills
  • Ability to stay focused and productive in repetitive task-based work
  • High School Diploma or equivalent

At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you value open communication, connection, and teamwork, you will thrive in our environment, where showing up authentically matters.
What to Expect:
  • On-camera participation during interviews, training, team meetings, and regular check-ins.
  • Face-to-face discussions sparking collaboration and engagement
  • A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

Benefits:
  • Medical, Dental, and Vision coverage.
  • Life Insurance.
  • Short-Term and Long-Term Disability options.
  • Flexible Spending Account (FSA).
  • Employee Assistance Program.
  • 401(k) with employer contribution.
  • Paid Time Off (PTO).
  • Tuition Reimbursement.

BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements
Diversity Statement
At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath, a Sagility Company, is an Equal Opportunity Employer. We do not discriminate against our applicants on the basis of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and the market data of the position. The actual salary for this role may vary by location.
Location:
Work@Home USAUnited States of America

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