Medicare Appeals Coordinator

Job Summary

Working remotely on a contract basis, the Appeals Intake Coordinator will process incoming Medicare appeals and grievances, triaging concerns based on urgency and collaborating with internal teams to ensure quality member care and satisfaction.

Key responsibilities:

• Review and triage incoming Medicare appeals and grievances based on urgency and type of concern
• Assign complaints and inquiries to the appropriate analyst for resolution
• Assist with investigations, documentation collection, and correspondence related to appeals and grievances

Required qualifications:

• High School Diploma or equivalent required
• Minimum of one (1) year of health insurance or managed care experience in Appeals and Grievances functions
• Knowledge of healthcare delivery systems
• Proficiency with Microsoft Office applications
• Experience with Health Edge, Epic, and/or Facets preferred