Appeals Intake Coordinator

Job Summary

Focusing on processing incoming member and provider Medicare appeals and grievances, the part-time Appeals Intake Coordinator will triage appeals, correspond with stakeholders, and assist in investigations while working remotely on a contract basis for a duration of 2+ months.

Key responsibilities

• Triaging incoming appeals and grievances for urgency and appropriate action
• Corresponding with members, providers, and regulators regarding decisions and actions
• Collaborating with internal teams to ensure effective handling of complaints and appeals

Required qualifications

• High School Diploma or equivalent is required
• Preferred Associate's Degree
• At least 1 year of relevant experience in health insurance or managed care, specifically in Appeals and Grievances functions