Intake Coordinator – Integrated Grievances and Appeals

CVS Health

. Review, research, and enter grievance and appeal cases within one business day of receipt .

Posted 10/22/2026full-timeRemote • United StatesJuniorMid-Level💰 $17 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in grievance and appeals processing, ensuring timely and accurate case management while adapting to changing workflows. Proficient in data entry and problem-solving within the health insurance domain, particularly with Medicare and Medicaid.

Highest-signal resume keywords

Grievance And Appeals ExperienceData EntryCritical Thinking SkillsProblem Solving SkillsHealth Insurance Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryGrievance And Appeals ProcessingCase ManagementIntake ExperienceDecision Making

Soft Skills

Critical ThinkingAdaptabilityCollaborationCommunication

Certifications & Qualifications

High School Diploma Or Equivalent

Industry Keywords

MedicareMedicaidHealth InsuranceQuality AssuranceIntake Coordination

About the role

Key responsibilities & impact

Review, research, and enter grievance and appeal cases within one business day of receipt
Monitor call tracking, fax, email, and mail intake sources and prioritize incoming requests
Intake member appeals, member grievances, provider grievances, and provider/claim appeals
Determine appropriate case types and processing requirements from incoming information
Manage cases with varying turnaround times based on state, plan, and case type
Ensure urgent and expedited requests are handled timely
Partner with Quality Assurance to ensure accurate case entry and complete required information
Respond to QA questions and feedback and seek clarification when needed
Participate in weekly meetings with Intake Coordinators, analysts, Quality team members, managers, and project managers
Adapt to changing procedures, requirements, priorities, and workflows while maintaining accuracy and productivity

Requirements

What you’ll need

2+ years of related experience
Working knowledge of problem solving and decision making skills
Critical thinking skills
Data entry
Grievance and appeals experience
High School Diploma or equivalent
1 year of grievance and appeals experience preferred
Medicare and Medicaid experience preferred
Intake experience preferred
Health insurance experience preferred
Ability to work 40 hours per week

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility