Clinical Appeals Reviewer Salaries

1. Washington, DC
   Average Salary: $89,957
   In Washington, DC, professionals work in a dynamic healthcare environment. They evaluate medical claims and appeals with top firms like Kaiser Permanente. The job offers a chance to impact patient care directly.
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2. Las Vegas, NV
   Average Salary: $79,430
   Las Vegas, NV, is home to bustling healthcare facilities. Here, professionals review appeals for insurance companies such as UnitedHealthcare. This role provides stability and the chance to work in a growing city.
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3. St. Louis, MO
   Average Salary: $59,454
   St. Louis, MO, offers a mix of urban and community feel. Reviewers here work with companies like BCBS Missouri. They analyze medical records and ensure fair claim decisions.
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4. Phoenix, AZ
   Average Salary: $53,430
   Phoenix, AZ, is known for its sunny climate and growing job market. Professionals review appeals at Banner Health. This job provides a chance to work in a vibrant and expanding healthcare sector.
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5. Indianapolis, IN
   Average Salary: $52,135
   In Indianapolis, IN, reviewers work in a city with a strong healthcare presence. They collaborate with companies like Community Health Network. The role offers good benefits and opportunities for professional growth.
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6. Louisville, KY
   Average Salary: $46,215
   Louisville, KY, has a rich healthcare system. Reviewers here work with Norton Healthcare. They assess medical claims and ensure they meet insurance criteria.
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7. Lincoln, NE
   Average Salary: $43,421
   Lincoln, NE, offers a friendly community and a solid job market. Professionals review appeals at Blue Cross and Blue Shield of Nebraska. This role allows for a good work-life balance.
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8. Houston, TX
   Average Salary: $43,400
   Houston, TX, is a major healthcare hub. Reviewers work with companies like Baylor Scott & White Health. The city offers a dynamic environment and plenty of opportunities in the field.
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9. Buffalo, NY
   Average Salary: $40,167
   Buffalo, NY, provides a supportive community. Reviewers here work with Kaleida Health. They ensure that patient care decisions are accurate and fair.
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1. UnitedHealth Group
   Average Salary: $81,106
   UnitedHealth Group offers robust opportunities for Clinical Appeals Reviewers across multiple states, including Minnesota, New York, and California. They focus on ensuring fair and efficient healthcare appeals processes.
   

   
   

2. Optum
   Average Salary: $79,225
   Optum provides Clinical Appeals Reviewer roles that cover various locations, such as Minnesota, California, and Massachusetts. They emphasize quality and integrity in healthcare services.
   

   
   

3. Centene
   Average Salary: $73,970
   At Centene, Clinical Appeals Reviewers work in states like Florida, Ohio, and Missouri. They are dedicated to enhancing patient care through detailed and fair appeal processes.
   

   
   

4. State of Washington
   Average Salary: $66,581
   The State of Washington offers Clinical Appeals Reviewer positions in cities like Seattle and Olympia. They strive for transparency and fairness in healthcare decisions.
   

   
   

5. Commonwealth of Kentucky
   Average Salary: $54,362
   The Commonwealth of Kentucky provides opportunities in cities such as Louisville and Frankfort. They focus on efficient and accurate healthcare appeal reviews.
   

   
   

6. CVS Health
   Average Salary: $51,680
   CVS Health offers roles for Clinical Appeals Reviewers in states like Rhode Island, Massachusetts, and Texas. They aim to deliver quality healthcare solutions.
   

   
   

7. Onco360
   Average Salary: $45,943
   Onco360 provides opportunities in cities such as Atlanta and Seattle. They concentrate on supporting patients and providers through the appeals process.
   

Becoming a Clinical Appeals Reviewer can be a rewarding career choice, especially with the right strategies in place to maximize earnings. This role often involves reviewing medical cases to ensure that the decisions made align with industry standards. To earn more in this position, consider these key factors that can significantly impact your salary.

Firstly, gaining relevant experience and certifications can greatly increase earning potential. Specializing in certain areas of healthcare, such as oncology or cardiology, makes a candidate more valuable. Certifications like Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRAC) demonstrate expertise and can lead to higher pay. Experience in this field allows a reviewer to handle more complex cases efficiently, which often results in a higher salary. Networking with other professionals and attending industry conferences can also open up higher-paying opportunities.

Secondly, improving negotiation skills can play a crucial role. When offered a new position or a raise, being prepared to discuss and negotiate salary terms can lead to better outcomes. Researching industry standards and understanding the value one brings to the table are essential in these discussions. Having a clear and professional approach during negotiations shows confidence and can lead to a more favorable outcome.

1. Gain relevant experience
2. Obtain certifications
3. Network with industry professionals
4. Improve negotiation skills
5. Seek continuous education