Health Intake & Appeals Coordinator

CVS Health; Colorado; On-site; USD 23,000 - 39,000; Full time

Job summary

CVS Health is seeking a detail-oriented Intake Coordinator to review, research, and enter grievance and appeal cases with a focus on accuracy and speed.

Responsibilities include handling multiple intake sources, prioritizing requests, and coordinating with QA and team members to ensure complete and correct case data. This role demands strong organization, problem solving, and timely communication.

Qualifications

• 2+ years of related experience
• Working knowledge of problem solving and decision making
• Critical thinking skills
• Data entry
• Grievance and appeals experience

Responsibilities

• Review, research, and enter grievance and appeal cases within one business day of receipt.
• Monitor multiple intake sources, including call tracking, fax, email, and mail, and appropriately prioritize incoming requests.
• Intake various case types, which may include: Member appeals (pre-service)Member grievancesProvider grievancesProvider/claim appeals (post-service).
• Review incoming information to determine the appropriate case type and applicable processing requirements.
• Manage cases with varying turnaround times and requirements based on state, plan, and case type.
• Maintain strong organization and prioritization to ensure urgent and expedited requests are handled timely.
• Partner closely with the QA team to ensure cases are entered accurately and required information is complete.
• Respond to questions and feedback from QA and proactively seek clarification when needed.
• Participate in weekly team meetings with Intake Coordinators, analysts, Quality team members, managers, and project managers.
• Adapt quickly to changing procedures, requirements, priorities, and workflows while maintaining accuracy and productivity.

Skills

Data entry

Grievance and appeals experience

Critical thinking

Education

High School Diploma or equivalent

Job description

CVS Health is seeking a detail-oriented Intake Coordinator to review, research, and enter grievance and appeal cases with a focus on accuracy and speed.

Responsibilities include handling multiple intake sources, prioritizing requests, and coordinating with QA and team members to ensure complete and correct case data. This role demands strong organization, problem solving, and timely communication.