How much does a Clinical Appeals Reviewer make?
A Clinical Appeals Reviewer plays a key role in the healthcare industry. They review and assess appeals related to clinical decisions. This job is both rewarding and financially stable. The average yearly salary for a Clinical Appeals Reviewer is around $66,125. This salary can vary based on experience, location, and the specific employer.
The salary for a Clinical Appeals Reviewer can range widely. The lowest 10% earn about $34,560 per year. The highest 10% can make over $125,853 annually. Most Clinical Appeals Reviewers fall somewhere in the middle. For example, the median salary is around $76,057. This range shows that with experience and skill, the salary can grow. It also highlights the importance of this role in the healthcare system.
What are the highest paying cities for a Clinical Appeals Reviewer?

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Washington, DC
Average Salary: $90,292
In Washington, DC, professionals in this role work with top healthcare organizations. They review patient cases and ensure fair treatment. The city offers a dynamic work environment with many opportunities for career growth.
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Phoenix, AZ
Average Salary: $56,333
Phoenix, AZ, provides a vibrant setting for those in this field. Reviewers here collaborate with major healthcare providers. The city's warm climate and growing job market make it an attractive place to work.
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Indianapolis, IN
Average Salary: $50,528
Indianapolis offers a balanced lifestyle for healthcare reviewers. They work with prominent companies to assess patient care. The city's affordable cost of living and strong community make it a great place to live and work.
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Louisville, KY
Average Salary: $45,043
Louisville, KY, is known for its friendly atmosphere and rich culture. Reviewers here support local healthcare facilities. The city's growing economy and welcoming community add to the appeal of working here.
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Lincoln, NE
Average Salary: $44,134
Lincoln, NE, provides a quieter, family-friendly environment for healthcare professionals. They work with local hospitals to ensure quality care. The city's low cost of living and strong sense of community make it an attractive option.
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Houston, TX
Average Salary: $43,400
Houston, TX, offers a bustling job market for healthcare reviewers. They collaborate with large medical institutions. The city's diverse culture and economic opportunities make it a vibrant place to work.
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Buffalo, NY
Average Salary: $40,912
Buffalo, NY, provides a mix of urban and natural settings for healthcare professionals. They work with local healthcare providers to review patient cases. The city's rich history and affordable living make it a unique place to work.
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What are the best companies a Clinical Appeals Reviewer can work for?

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Elevance Health
Average Salary: $96,273
Elevance Health offers Clinical Appeals Reviewer jobs with a strong focus on patient care and health outcomes. They operate nationwide, providing opportunities in various locations. Their roles emphasize teamwork and continuous learning.
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Optum
Average Salary: $79,192
Optum provides Clinical Appeals Reviewer positions that focus on improving healthcare efficiency. They have offices across the United States, offering diverse work environments. Their roles are designed to enhance patient care and satisfaction.
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UnitedHealth Group
Average Salary: $79,163
UnitedHealth Group offers Clinical Appeals Reviewer jobs with a commitment to health innovation. They have locations in many states, providing a range of opportunities. Their roles aim to support better health outcomes and patient experiences.
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Centene
Average Salary: $73,679
Centene provides Clinical Appeals Reviewer positions that focus on community health. They operate in multiple states, offering various work settings. Their roles emphasize collaboration and patient-centered care.
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State of Washington
Average Salary: $68,586
The State of Washington offers Clinical Appeals Reviewer jobs with a focus on public health. They operate in Washington state, providing a stable work environment. Their roles aim to improve healthcare access and quality for residents.
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Commonwealth of Kentucky
Average Salary: $54,354
The Commonwealth of Kentucky offers Clinical Appeals Reviewer positions that focus on state health programs. They operate in Kentucky, providing a supportive work environment. Their roles aim to enhance healthcare services for the state's residents.
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CVS Health
Average Salary: $52,291
CVS Health provides Clinical Appeals Reviewer jobs with a focus on pharmacy and health services. They have locations across the United States, offering diverse opportunities. Their roles emphasize customer care and health management.
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Onco360
Average Salary: $46,640
Onco360 offers Clinical Appeals Reviewer positions that focus on oncology care. They operate in various locations, providing a specialized work environment. Their roles aim to support cancer patients and improve treatment outcomes.
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State of Nebraska
Average Salary: $41,302
The State of Nebraska offers Clinical Appeals Reviewer jobs with a focus on state health initiatives. They operate in Nebraska, providing a stable work environment. Their roles aim to enhance healthcare services for the state's residents.
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Pharmscript
Average Salary: $39,091
Pharmscript provides Clinical Appeals Reviewer positions that focus on pharmacy services. They operate in multiple states, offering various opportunities. Their roles emphasize patient care and medication management.
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 earning potential in this field requires a combination of skills and experience. Understanding the factors that influence salary can help you make informed decisions about your career path.
Here are key factors that can help boost your earnings as a Clinical Appeals Reviewer:
- Experience: Gaining more experience in the field can lead to higher salary offers. Employers often value seasoned professionals who understand the intricacies of medical appeals.
- Certification: Obtaining relevant certifications can enhance your qualifications. Certifications in medical coding or healthcare compliance can make you more competitive in the job market.
- Education: Higher levels of education, such as a bachelor's or master's degree in healthcare administration or a related field, can open up higher-paying positions.
- Specialization: Specializing in a particular area of clinical appeals, such as Medicare or Medicaid, can make you more valuable to employers. Specialization often leads to higher pay.
- Location: The geographic location can also impact your salary. Urban areas with higher living costs often offer higher wages to attract qualified professionals.



