Position
Salary
A Clinical Appeals Reviewer plays an important role in the healthcare industry. They help make sure healthcare providers get paid fairly for the services they offer. This job can be very rewarding, and it also comes with a good salary. On average, Clinical Appeals Reviewers earn about $62,476 a year.
The salary can vary based on experience and location. Some Clinical Appeals Reviewers earn around $35,500 each year. Others with more experience can earn closer to $130,000 or even more. Here is a quick look at how salaries are spread out:

Washington, DC
Average Salary: $89,585
In Washington, DC, professionals can find rewarding opportunities to work with major healthcare organizations. The city’s vibrant atmosphere supports growth in the healthcare industry, with companies like Kaiser Permanente offering varied and challenging roles.
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Las Vegas, NV
Average Salary: $80,100
Las Vegas, NV, provides a dynamic setting for those in the healthcare review field. Here, individuals can engage with large firms such as Optum, where they can contribute to improving healthcare policies and patient outcomes.
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St. Louis, MO
Average Salary: $63,746
St. Louis, MO, offers a stable environment for healthcare reviewers. With notable companies like Centene Corporation, professionals can expect a mix of urban and community-focused work that enhances their expertise.
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Phoenix, AZ
Average Salary: $63,519
In Phoenix, AZ, the healthcare sector presents a growing number of positions. With large employers like CVS Health, job seekers can find fulfilling roles that impact patient care and policy.
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Indianapolis, IN
Average Salary: $53,874
Indianapolis, IN, is a city where healthcare reviewers can make significant contributions. Working with companies such as Anthem, Inc., professionals can help shape healthcare policies and ensure quality care for patients.
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Louisville, KY
Average Salary: $45,304
Louisville, KY, offers a mix of community and corporate opportunities for healthcare reviewers. With employers like Humana, Inc., professionals can expect to work in environments that value their skills and knowledge.
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Houston, TX
Average Salary: $42,524
Houston, TX, provides a bustling atmosphere for healthcare reviewers. Major companies such as UnitedHealth Group offer challenging roles that focus on improving healthcare systems and patient experiences.
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Buffalo, NY
Average Salary: $42,333
Buffalo, NY, is a city where healthcare reviewers can find fulfilling positions. With companies like Highmark Health, professionals can contribute to enhancing healthcare services and patient care.
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Lincoln, NE
Average Salary: $41,434
In Lincoln, NE, the healthcare review field offers a supportive work environment. With notable employers such as Blue Cross and Blue Shield of Nebraska, professionals can make a significant impact on patient care and healthcare policies.
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Optum
Average Salary: $81,779
Optum offers Clinical Appeals Reviewer roles with a focus on patient care. They operate in many locations across the country, providing many opportunities for career growth.
Centene
Average Salary: $74,707
At Centene, Clinical Appeals Reviewers work on a range of health services. They have locations in multiple states and offer a solid benefits package.
Molina Healthcare
Average Salary: $54,494
Molina Healthcare offers Clinical Appeals Reviewer jobs with a focus on Medicaid and Medicare. The company operates in several states and provides a supportive work environment.
CVS Health
Average Salary: $52,015
CVS Health provides opportunities for Clinical Appeals Reviewers in multiple states. They emphasize teamwork and professional development.
Onco360
Average Salary: $47,114
Onco360 offers Clinical Appeals Reviewer roles with a focus on oncology care. They have locations in various states, providing a chance to work in a specialized field.
State of Nebraska
Average Salary: $41,805
The State of Nebraska offers Clinical Appeals Reviewer jobs with a focus on public health. They operate primarily in Nebraska, providing stable employment.
Becoming a Clinical Appeals Reviewer can be a rewarding career. To earn more in this role, consider these key factors. Building experience and gaining expertise can lead to higher pay. Networking with other professionals in the field opens doors to better opportunities. Continuous education and obtaining relevant certifications can boost earning potential. Taking on leadership roles and demonstrating excellent performance also can result in higher pay. Staying updated with industry trends and technologies enhances job value.
A focus on specialization within clinical appeals can lead to increased compensation. Specialization in a particular area, such as Medicare appeals or pharmaceutical claims, can make a reviewer more valuable to employers. Pursuing opportunities in high-demand regions can also result in higher salaries. Effective time management and the ability to handle a high volume of cases efficiently can lead to bonuses and raises. Demonstrating strong communication skills and the ability to work well within a team can set a reviewer apart and lead to more lucrative job offers.