Position
Salary

How much does a Clinical Appeals Reviewer make?

The average salary for a Clinical Appeals Reviewer is $65,710 per year in the US.

A Clinical Appeals Reviewer plays a key role in the healthcare industry. They review and make decisions on appeals related to medical services. This job is both challenging and rewarding. The average yearly salary for a Clinical Appeals Reviewer is around $65,710. This means that, on average, people in this role earn a good income.

The salary for a Clinical Appeals Reviewer can vary based on experience and location. Some reviewers may earn less, while others may earn more. Here are some common salary points:

  • 10th percentile: $34,560
  • 25th percentile: $43,291
  • 50th percentile: $60,753
  • 75th percentile: $86,945
  • 90th percentile: $113,138

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What are the highest paying cities for a Clinical Appeals Reviewer?

Clinical Appeals Reviewers can find some of the best pay in Washington, DC, where the average salary reaches $90,310. This high salary reflects the city's demand for skilled healthcare professionals. Additionally, Las Vegas, NV, and Phoenix, AZ, offer competitive salaries, making them attractive options for those in the field.
Graph displaying highest paying cities salaries for Clinical Appeals Reviewer jobs, highlighting Washington, DC with the highest at $90,310 and Buffalo, NY with the lowest at $40,912.
  1. Washington, DC
    Average Salary: $90,310
    In Washington, DC, professionals in healthcare review often work with top-tier medical institutions. The city's numerous healthcare facilities offer diverse opportunities for those in the field. Companies like Kaiser Permanente and Johns Hopkins provide a dynamic work environment.
    Find Clinical Appeals Reviewer jobs in Washington, DC


  2. Las Vegas, NV
    Average Salary: $79,008
    Las Vegas offers a vibrant healthcare sector with many opportunities for those in clinical review. The city's growing population and numerous hospitals create a demand for skilled reviewers. Working with companies like Dignity Health and MountainView Hospital can be a rewarding experience.
    Find Clinical Appeals Reviewer jobs in Las Vegas, NV


  3. Phoenix, AZ
    Average Salary: $56,333
    Phoenix has a thriving healthcare industry, making it a great place for clinical reviewers. The city's warm climate and expanding healthcare network attract many professionals. Companies such as Banner Health and HonorHealth offer excellent career growth.
    Find Clinical Appeals Reviewer jobs in Phoenix, AZ


  4. Indianapolis, IN
    Average Salary: $50,528
    Indianapolis provides a stable environment for healthcare review professionals. The city's strong healthcare system and numerous hospitals offer many job opportunities. Working with organizations like IU Health and Community Health Network can be fulfilling.
    Find Clinical Appeals Reviewer jobs in Indianapolis, IN


  5. Louisville, KY
    Average Salary: $45,043
    Louisville offers a supportive community for healthcare reviewers. The city's healthcare sector is robust, with many hospitals and clinics. Companies like Norton Healthcare and UofL Health provide a great work environment.
    Find Clinical Appeals Reviewer jobs in Louisville, KY


  6. Lincoln, NE
    Average Salary: $44,285
    Lincoln has a growing healthcare industry, offering many opportunities for clinical reviewers. The city's smaller size provides a close-knit community feel. Working with organizations like Bryan Health and CHI Health is common.
    Find Clinical Appeals Reviewer jobs in Lincoln, NE


  7. Houston, TX
    Average Salary: $43,188
    Houston's large healthcare sector offers numerous opportunities for clinical reviewers. The city's diverse population and many medical institutions create a dynamic work environment. Companies like Houston Methodist and Baylor College of Medicine are prominent.
    Find Clinical Appeals Reviewer jobs in Houston, TX


  8. Buffalo, NY
    Average Salary: $40,912
    Buffalo provides a stable and supportive environment for healthcare review professionals. The city's strong healthcare system and numerous hospitals offer many job opportunities. Working with organizations like Kaleida Health and ECMC is common.
    Find Clinical Appeals Reviewer jobs in Buffalo, NY

What are the best companies a Clinical Appeals Reviewer can work for?

Elevance Health offers top pay for Clinical Appeals Reviewers, with an average salary of $96,273. Optum and UnitedHealth Group also provide competitive salaries, around $80,444 and $77,728, respectively. These companies value skilled professionals and offer attractive compensation packages.
Graph displaying best paying company salaries for Clinical Appeals Reviewer jobs, highlighting Elevance Health with the highest at $96,273 and Pharmscript with the lowest at $39,091.
  1. Elevance Health
    Average Salary: $96,273
    Elevance Health is a leading health company that offers a variety of roles for Clinical Appeals Reviewers. They operate in many states across the U.S. and focus on improving health outcomes. Their positions often require reviewing clinical appeals and ensuring fair decisions.


  2. Optum
    Average Salary: $80,444
    Optum is a health services and innovation company that provides Clinical Appeals Reviewer jobs. They have locations nationwide and emphasize patient care and health equity. Reviewers here work on complex cases and need strong analytical skills.


  3. UnitedHealth Group
    Average Salary: $77,728
    UnitedHealth Group offers Clinical Appeals Reviewer positions with a competitive salary. They operate in many states and focus on health and well-being. Reviewers here review appeals to ensure accurate and fair decisions.


  4. Centene
    Average Salary: $73,647
    Centene is a healthcare company that provides Clinical Appeals Reviewer jobs. They have locations across the U.S. and aim to improve the health of their communities. Their reviewers work on appeals and need to understand clinical guidelines.


  5. State of Washington
    Average Salary: $68,815
    The State of Washington offers Clinical Appeals Reviewer jobs with a good salary. They operate in Washington state and focus on public health. Reviewers here work on appeals and ensure fair decisions for the public.


  6. Molina Healthcare
    Average Salary: $56,575
    Molina Healthcare provides Clinical Appeals Reviewer jobs with a competitive salary. They operate in several states and focus on improving health outcomes. Reviewers here work on appeals and need to understand healthcare policies.


  7. Commonwealth of Kentucky
    Average Salary: $54,082
    The Commonwealth of Kentucky offers Clinical Appeals Reviewer jobs with a good salary. They operate in Kentucky and focus on public health. Reviewers here work on appeals and ensure fair decisions for the public.


  8. CVS Health
    Average Salary: $51,498
    CVS Health provides Clinical Appeals Reviewer jobs with a competitive salary. They have locations nationwide and focus on health services. Reviewers here work on appeals and need to understand clinical guidelines.


  9. Onco360
    Average Salary: $46,815
    Onco360 offers Clinical Appeals Reviewer jobs with a good salary. They operate in several states and focus on cancer care. Reviewers here work on appeals and need to understand oncology guidelines.


  10. Pharmscript
    Average Salary: $39,091
    Pharmscript provides Clinical Appeals Reviewer jobs with a competitive salary. They operate in several states and focus on pharmacy services. Reviewers here work on appeals and need to understand pharmacy policies.

How to earn more as a Clinical Appeals Reviewer?

A Clinical Appeals Reviewer plays a crucial role in the healthcare industry. This role involves reviewing and making decisions on appeals related to medical services. Increasing your earnings in this field requires a combination of skills and experience. Understanding the factors that influence salary can help you make informed decisions to advance your career.

Here are key factors that can help boost your earnings as a Clinical Appeals Reviewer:

  1. Experience: Gaining more experience in the field can lead to higher pay. Employers often value seasoned professionals who understand the complexities of medical appeals.
  2. Certifications: Obtaining relevant certifications can enhance your qualifications. Certifications in medical coding or healthcare compliance can make you more attractive to employers.
  3. Education: Higher levels of education, such as a bachelor's or master's degree in healthcare administration or a related field, can lead to better-paying positions.
  4. Specialization: Focusing on a specific area of clinical appeals, such as Medicare or Medicaid, can make you a specialist. Specialization can command higher salaries.
  5. Performance: Demonstrating strong performance and results in your current role can lead to promotions and salary increases. Meeting or exceeding performance metrics can set you apart from your peers.

Currently 85 Clinical Appeals Reviewer job openings, nationwide.

How's the job market for a Clinical Appeals Reviewer in the US?

Learn what a Clinical Appeals Reviewer does, how to become one, and understand the job outlook. Get simple steps to start your career as a Clinical Appeals Reviewer today.
Position
Overview
Clinical Appeals Reviewer
85 Job Openings