Remote Appeals & Grievances Intake Coordinator II

Medica; Minnetonka (MN); Remote; USD 41,000 - 71,000; Full time

Job summary

Medica is a nonprofit health plan serving communities across Minnesota and beyond. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing to support timely processing while applying knowledge of A&G procedures and regulatory requirements.

Working under general supervision, you will resolve routine issues, document accurately, and ensure compliance. This remote role requires residing in Medica-eligible states and contributes to a positive member/provider

Qualifications

• High School Diploma or equivalent required or better.
• 2+ years in health plan, managed care, or healthcare operations.
• 1+ years in Appeals & Grievances on a dedicated team.
• Experience reviewing and classifying appeals/grievances per guidelines.
• Ability to prioritize high-volume workload with accuracy.
• Strong detail orientation to set correct timelines.

Responsibilities

• Perform intake, case entry, and routing for A&G correspondence.
• Respond to member and provider inquiries about A&G processes.
• Review and prepare correspondence for accuracy and completeness.
• Support compliance, documentation, and administrative tasks of the department.
• Escalate complex issues to appropriate staff as needed.

Skills

High School Diploma

Health plan experience

Appeals & Grievances experience

Prioritize high-volume workload

Attention to detail

Case classification

Education

High School Diploma or equivalent

Tools

GuidingCare

Job description

Medica is a nonprofit health plan serving communities across Minnesota and beyond. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing to support timely processing while applying knowledge of A&G procedures and regulatory requirements.

Working under general supervision, you will resolve routine issues, document accurately, and ensure compliance. This remote role requires residing in Medica-eligible states and contributes to a positive member/provider