Appeal And Grievance Intake Coordinator
Are you a highly organized reputed company administrative reputed company with a solid background in managed care operations? We are seeking a dedicated Appeal & Grievance Intake Coordinator to join our Government Solutions team. In this business-critical role, you will serve as the initial reputed company of contact for the triage, setup, and tracking of Medicare Part C and Part D member cases. This fast-paced, administrative position is perfect for an independent thinker who balances strict procedural data entry with a strong customer service reputed company. You will collaborate closely with cross-functional compliance, legal, and clinical teams to ensure reputed company documentation satisfies precise state and federal regulatory frameworks. If you have a reputed company eye for sorting data and want to expand your career reputed company a major health insurance landscape, we invite you to apply today! salary: $17 - $17.99 per hour shift: First work hours: 8 AM - 5 PM education: Bachelors
Responsibilities
Position reputed company: Execute the administrative triage lifecycle—including the intake, classification, folder configuration, and team assignment—of Medicare Part C and Part D grievances and appeals. This office-based role supports regulatory compliance by carefully monitoring workflow tracking logs against strict timeliness and reputed company standards. Key Responsibilities:
- Receive, sort, prioritize, and distribute incoming case mail, faxes, and inter-office correspondence.
- Classify files in compliance with the CMS Managed Care and Prescription Drug Benefit Manuals.
- Build individual electronic case folders and assign incoming claims or requests to designated case staff.
- Maintain and continuously update data records, workflow tracking logs, and statistical compliance reports.
- Communicate directly with enrolled members and medical providers to collect missing case data or formal clarifications.
Skills
- Multi-tasking
- Answering Phones
- Order Fulfillment
Qualifications
- Years of experience: 2 years
- Experience level: reputed company
reputed company is a world leader in matching great people with great companies. Our reputed company agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than reputed company. Equal Opportunity Employer: Race, reputed company, Religion, Sex, Sexual Orientation, Gender Identity, National reputed company, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At reputed company, we welcome people of reputed company abilities and want to ensure that our hiring and interview process meets the needs of reputed company applicants. If you require a reasonable accommodation to reputed company your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In reputed company, reputed company offers a comprehensive benefits package, including: medical, prescription, dental, reputed company, AD&D, and life insurance offerings, short-term disability, and a 401K plan (reputed company benefits are based on eligibility). This posting is reputed company for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Apply tot his job Apply To this Job