Remote Medicare Appeals & Grievances Coordinator

Apolis; Phoenix (AZ); On-site; USD 14,000 - 23,000; Part time

Job summary

Apolis is seeking an Appeal & Grievance Intake Coordinator to support intake, processing, and coordination of member appeals and grievances in a fast-paced healthcare environment. This contract role supports CMS-compliant case management and timely resolutions across multiple departments.

The ideal candidate has 2+ years of Medicare Advantage or managed care experience, strong analytical and communication skills, and proficiency with Microsoft Office tools.

Qualifications

• 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.

Responsibilities

• Support intake, processing, and coordination of member appeals and grievances in a healthcare setting.
• Coordinate with multiple departments to ensure timely and compliant case handling.
• Maintain and organize case files and logs for accurate tracking and reporting.
• Research CMS policies and ensure adherence to regulatory requirements.

Skills

Analytical thinking

Communication

Organizational skills

CMS policies

Case coordination

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Outlook

PowerPoint

Adobe Acrobat

Job description

Apolis is seeking an Appeal & Grievance Intake Coordinator to support intake, processing, and coordination of member appeals and grievances in a fast-paced healthcare environment. This contract role supports CMS-compliant case management and timely resolutions across multiple departments.

The ideal candidate has 2+ years of Medicare Advantage or managed care experience, strong analytical and communication skills, and proficiency with Microsoft Office tools.