As of September 01, 2026, the average salary for an Appeal Resolution Nurse in the United States is $90,641 per year, which breaks down to an hourly rate of $44.
However, an Appeal Resolution Nurse's salary can vary significantly. Here’s a look at the typical salary range:
Appeal Resolution Nurse Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
|---|---|---|---|---|
| 75th Percentile | $100,065 | $8,339 | $1,924 | $48 |
| Average | $90,641 | $7,553 | $1,743 | $44 |
| 25th Percentile | $82,826 | $6,902 | $1,593 | $40 |
An Appeal Resolution Nurse's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location and company size can directly affect your earning potential.
Experience is a primary driver of an Appeal Resolution Nurse's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:
| Job Role | Years of Experience | Average Salary |
|---|---|---|
| Appeal Resolution Nurse | 4-7 years | $90,641 |
| Claims Processing Supervisor - Healthcare | 7+ years | $72,493 |
| Claims Processing Manager - Healthcare | 7+ years | $100,865 |
| Claims Processing Director - Healthcare | 7+ years | $155,672 |
Appeal Resolution Nurse salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $97,707. While startup companies pay approximate $82,897.
| Company Size | Employees | Average Salary |
|---|---|---|
| Startup | 1~50 | $82,897 |
| Growth Stage | 51~500 | $87,623 |
| Established | 501~5000 | $94,394 |
| Enterprise | 5000+ | $97,707 |
Understanding how an Appeal Resolution Nurse's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $100,065 | $8,339 | $1,924 | $48 |
| Average | $90,641 | $7,553 | $1,743 | $44 |
| 25th Percentile | $82,826 | $6,902 | $1,593 | $40 |
Next Role
Advancement
For an Appeal Resolution Nurse, the most direct path to higher earnings is advancing to the Appeal Resolution Supervisor role. This promotion typically comes with a significant pay increase, bringing the average annual salary to $74,841 - a projected growth of -17% over your current level.
Salaries for an Appeal Resolution Nurse can change over time, reflecting shifts in market demand and the overall economy. The median salary increased from $81,381 in 2023 to around $81,437 in 2025, reflecting changes in demand, location, experience, and the wider economy. For a detailed analysis of Appeal Resolution Nurse salary trends, .
| Year | Average Annual Salary |
|---|---|
| 2022 | View More |
| 2023 | $81,381 |
| 2024 | $82,168 |
| 2025 | $81,437 |
| 2026 |
View More
|
| 2027 |
View More
|
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An Appeal Resolution Nurse's earning potential can vary widely depending on several factors, including location, industry, experience, education, and the specific employer. According to the latest salary data by Salary.com, an Appeal Resolution Nurse earns the most in San Jose, CA, where the annual salary of an Appeal Resolution Nurse is $114,325.
The highest pay for Appeal Resolution Nurse is $108,645.
The lowest pay for Appeal Resolution Nurse is $75,711.
Reviews clinical aspects of claim appeals and grievances to determine medical necessity and appropriate resolution. Evaluates medical records, treatment history, and clinical guidelines to support appeal determinations. Applies plan provisions, regulatory criteria, and evidence-based standards to assess disputed claims. Collaborates with physicians, medical directors, and appeal staff to reach clinically sound decisions. Documents clinical rationale and findings clearly and within required timelines and systems. Ensures compliance with applicable regulations, accreditation standards, and company policies. Typically requires a bachelor's degree in nursing. Requires a Registered Nurse (RN) license. Typically reports to a manager. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4-7 years of related experience.
The Insurance industry offers the highest average compensation for Appeal Resolution Nurse roles, with salaries approximately 20% above the market median.
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