Appeal & Grievance Intake Coordinator

Job Title: Appeal & Grievance Intake Coordinator
Location: Remote
Duration:03+ Month Contract

We are seeking an Appeal & Grievance Intake Coordinator to support the intake, processing, and coordination of member appeals and grievances in a fast-paced healthcare environment.

Skills & Responsibilities

• 2+ years of Medicare Advantage (Part C), Part D, or Managed Care experience
• Handle and process Grievances & Appeals (G&A), including case intake, review, tracking, and resolution.
• Coordinate with members, providers, Medical Directors, Quality, Legal, and other departments as needed.
• Ensure cases meet CMS regulatory requirements, deadlines, and compliance standards.
• Maintain accurate case files, databases, tracking logs, and correspondence.
• Research and interpret CMS policies, procedures, and guidelines.
• Strong analytical, critical-thinking, communication, and organizational skills.
• Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, and Adobe Acrobat.
• High school diploma/GED required.

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