[Hiring] Appeal & Grievance Intake Coordinator @Apolis

Role Description

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.

• 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.

Qualifications

• 2+ years of Medicare Advantage (Part C), Part D, or Managed Care experience
• High school diploma/GED required.

Requirements

• Strong analytical, critical-thinking, communication, and organizational skills.
• Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, and Adobe Acrobat.

Company Description