Appeals Coordinator

Appeals Intake Coordinator Position Overview We are seeking a detail-oriented Appeals Intake Coordinator to join our Medicare Appeals and Grievances team. In this role, you will be responsible for processing incoming member and provider appeals and grievances, reviewing concerns for urgency and regulatory requirements, and ensuring timely assignment to the appropriate analyst for resolution. The ideal candidate will have experience in healthcare, managed care, or health insurance and possess strong administrative, organizational, and written communication skills. This position plays a critical role in promoting quality member care and delivering exceptional customer service. Key Responsibilities Receive, review, and process incoming Medicare appeals and grievances from members and providers. Screen complaints and appeals to determine urgency, benefit issues, medical necessity concerns, and other appropriate classifications. Route cases to the appropriate analyst for investigation and resolution. Assist with gathering documentation, conducting research, and supporting investigations as needed. Prepare and maintain accurate records, correspondence, and case documentation. Collaborate with Customer Service, Utilization Management, Medical Directors, and other internal departments to ensure timely case handling. Support auditing, monitoring, and quality assurance activities. Ensure compliance with federal regulations, company policies, and Medicare guidelines. Contribute to continuous process improvement initiatives while maintaining a high level of customer service and member satisfaction. Required Qualifications Education High School Diploma or GED required. Experience Minimum of one (1) year of experience in health insurance or managed care performing Appeals and Grievances functions. Experience working with Medicare appeals preferred. Knowledge, Skills & Abilities Knowledge of Medicare, healthcare delivery systems, and managed care operations. Strong administrative and organizational skills with exceptional attention to detail. Excellent written communication skills. Ability to prioritize tasks and manage multiple deadlines in a fast-paced environment. Strong problem-solving and analytical abilities. Ability to identify issues, gather and analyze information, draw conclusions, and implement solutions in accordance with federal regulations. Demonstrated teamwork and collaboration skills. Proficiency in documentation management and intake processes. Top Skills Administrative Skills Medicare Knowledge Written Communication Intake Experience Medical Appeals Knowledge Job Type & Location This is a Contract position based out of Grand Rapids, MI. Pay and Benefits The pay range for this position is $17.00 - $19.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Aug 26, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.