Remote Appeals Intake Specialist

Apex Systems; Grand Rapids (MI); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

ESPP

401K with match

HSA

EAP 8 sessions

Discount programs

Certification discounts

Job summary

Everforth Apex Systems is seeking an Appeals Intake Coordinator to handle Medicare appeals and grievances remotely. You will triage, route, and document cases, coordinating with members and providers to support timely decisions.

Ideal candidates have 1 year of relevant experience, attention to detail, and HIPAA familiarity. Collaboration with Customer Service, Utilization Management, and Medical Directors is essential to ensure compliant triage and resolution.

Qualifications

• Must have high school diploma or equivalent.
• Preferred an Associate's degree.
• Minimum 1 year of relevant experience in appeals/grievances or health insurance.
• HIPAA compliance knowledge.

Responsibilities

• Triaging incoming appeals and grievances.
• Correspond with members, providers, and regulators regarding decisions.
• Coordinate with internal teams to triage inquiries.
• Ensure compliance with HIPAA and regulatory requirements.
• Support audits and monitoring activities.

Skills

Attention to detail

Communication skills

Learning new processes

Manual intake work

Regulatory awareness

Education

High school diploma or equivalent

Associate's degree (preferred)

Tools

EPIC

Job description

Everforth Apex Systems is seeking an Appeals Intake Coordinator to handle Medicare appeals and grievances remotely. You will triage, route, and document cases, coordinating with members and providers to support timely decisions.

Ideal candidates have 1 year of relevant experience, attention to detail, and HIPAA familiarity. Collaboration with Customer Service, Utilization Management, and Medical Directors is essential to ensure compliant triage and resolution.