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Appeals Jobs in Michigan (NOW HIRING)

Stefanini Group

Appeals Intake Coordinator

Grand Rapids, MI · Hybrid

$21.25 - $26.25/hr

Stefanini is looking for Appeals Intake Coordinator-Remote 100% For quick apply, please contact Rahul Kumar; Ph: 248 936 5060 Rahul.kumar@stefanini.com W2 Candidates Only! Job Summary: The Appeals ...

Stefanini Group

Appeals Intake Coordinator

Grand Rapids, MI · Hybrid

$21.25 - $26.25/hr

Stefanini is looking for Appeals Intake Coordinator-Remote 100% For quick apply, please contact Rahul Kumar; Ph: 248 936 5060 Rahul.kumar@stefanini.com W2 Candidates Only! Job Summary: The Appeals ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Detroit, MI · On-site

$52.50 - $63.75/hr

Remote Appeals Pharmacist - Fair Medication Access Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Grand Rapids, MI · On-site

$53.25 - $64.75/hr

Remote Appeals Pharmacist - Fair Medication Access Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication ...

NJ CURE

Appellate Attorney

Southfield, MI · On-site

$130K - $170K/yr

The successful candidate will handle appeals as assigned by claims and/or the legal team. The successful candidate may also counsel and assist underwriting, SIU, and other departments in the company ...

Robert Half

Attorney/Lawyer

Southfield, MI · On-site

A Southfield law firm is seeking an experienced Appellate Attorney to manage civil appeals in Michigan state and federal courts. The ideal candidate will have excellent legal research, writing, and ...

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Appeals information

What is an appeals job?

Appeals jobs involve handling requests to review and potentially overturn previous decisions, often in legal, insurance, healthcare, or government settings. Professionals in this field review cases, gather and analyze evidence, and ensure that appeals processes follow established policies and regulations. They may interact with clients, legal representatives, or regulatory bodies to resolve disputes or clarify decisions. Appeals specialists play a crucial role in ensuring fairness and compliance within their organizations.

What skills and qualifications are needed to work in appeals?

To thrive as an Appeals Specialist, you need a solid understanding of insurance claims processes, healthcare regulations, and strong analytical skills, usually supported by a relevant degree or experience in medical billing or coding. Familiarity with claims management software, electronic health record (EHR) systems, and knowledge of payer-specific guidelines are essential. Attention to detail, persistence, and effective written and verbal communication skills help resolve complex cases and advocate for patients or organizations. These skills ensure timely and accurate resolution of denied claims, maximizing reimbursements and maintaining compliance with industry standards.

What are the main challenges faced by professionals working in appeals, and how can they best navigate them?

Appeals professionals often encounter complex regulations, tight deadlines, and emotionally charged interactions with clients or stakeholders. Navigating these challenges requires strong organizational skills, attention to detail, and the ability to interpret legal or policy documents accurately. Effective communication and collaboration with legal teams, case managers, or external agencies are also essential for building persuasive cases. Staying updated on relevant laws and procedural changes can help appeals specialists advocate successfully and reduce the risk of errors.

What is the difference between Appeals vs Dispute Resolution Specialist?

AspectAppealsDispute Resolution Specialist
CredentialsTypically requires knowledge of appeals processes, legal or administrative certificationsRequires certifications in conflict resolution, negotiation, or mediation
Work EnvironmentOften in government agencies, healthcare, or insurance sectorsCommonly in legal firms, corporate settings, or mediation centers
Employer & IndustryPublic sector, healthcare, insuranceLegal, corporate, consulting
Search & Comparison IntentUnderstanding appeals procedures, filing appealsResolving disputes, mediating conflicts

While both roles involve conflict resolution, Appeals specialists focus on managing formal appeal processes within organizations or agencies, whereas Dispute Resolution Specialists handle broader conflict mediation and negotiation. The roles overlap in conflict management but differ in scope and setting.

What are the most commonly searched types of Appeals jobs in Michigan?

The most popular types of Appeals jobs in Michigan are:

Appeals jobs near you
Infographic showing various Appeals job openings in Michigan as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 77% Physical, 8% Hybrid, and 15% Remote job distribution.

Appeals Intake Coordinator

Stefanini Group

Grand Rapids, MI • Hybrid

$21.25 - $26.25/hr

Contractor

Posted 22 days ago

Job description

Stefanini Group is hiring!
Stefanini is looking for Appeals Intake Coordinator-Remote 100%
For quick apply, please contact Rahul Kumar; Ph: 248 936 5060
Rahul.kumar@stefanini.com
 
W2 Candidates Only!
 
Job Summary:
The Appeals intake coordinator position is focused on the processing of incoming member and provider Medicare appeals and grievances. This team member will screen incoming complaints and appeals for level of urgency, benefit or medical necessity issues and other appropriate inquiries. This team member will assign the incoming concern to the appropriate analyst and may assist in investigations, documentation gathering, and correspondence as needed. This team member may also participate in auditing and monitoring activities as assigned. This team member will promote quality member care and customer service/satisfaction.
 
This team member will interact with Customer Service, Utilization Management, Medical Directors, and other internal teams as necessary to effectively triage incoming complaints and appeals.
 
Essential Functions:
  • Triaging of incoming appeals & grievances
  • Corresponds with members, providers and regulators regarding decisions and actions
  • Communicate, collaborate and cooperate with internal and external stakeholders.
  • Adheres to compliance and regulatory requirements
  • Complies with HIPAA regulations
  • Supports department-based goals which contribute to the success of the organization
  • Reasoning ability to identify and define problems, collect data/information, establish facts, and draw valid conclusions, makes decisions and implements changes related to Federal regulations

Qualifications:
  • Required High School Diploma or equivalent
  • Preferred Associate's Degree
  • 1 year of relevant experience Health insurance/managed care experience performing Appeals and Grievances functions Required
 
#LI-RK1
#LI-HYBRID
 
 
Stefanini takes pride in hiring top talent and developing relationships with our future employees. Our talent acquisition teams will never make an offer of employment without having a phone conversation with you. Those face-to-face conversations will involve a description of the job for which you have applied. We also speak with you about the process including interviews and job offers.
 
About Stefanini Group:
The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting company with a global presence. We are CMM Level 5 company
Education:OtherEmployment Type: CONTRACTOR

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