-
Description & Requirements
Maximus is currently hiring for an Coordinator 2 - Appeals to join our QIC DME team.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- 1 year QIC experience Required
- Prior experience with Microsoft Office Suite preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.
Compensation ra...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2025-05-21 09:03:56
-
Description & Requirements
Maximus is currently hiring for an Coordinator 2 - Appeals to join our QIC DME team.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- 1 year QIC experience Required
- Prior experience with Microsoft Office Suite preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.
Compensation ra...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2025-05-21 09:03:55
-
Description & Requirements
Maximus is currently hiring for an Coordinator 2 - Appeals to join our QIC DME team.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- 1 year QIC experience Required
- Prior experience with Microsoft Office Suite preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.
Compensation ra...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2025-05-21 09:03:54
-
Description & Requirements
Maximus is currently hiring for an Coordinator 2 - Appeals to join our QIC DME team.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- 1 year QIC experience Required
- Prior experience with Microsoft Office Suite preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.
Compensation ra...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2025-05-21 09:03:52
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:30
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:29
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:26
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:25
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:24
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:23
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:23
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:22
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:21
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:21
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:20
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:19
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:19
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:18
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:18
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:17
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:16
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:16
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:15
-
Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Newport, US-RI
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:14
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Description & Requirements
Maximus is currently hiring for an Admin 2 - Appeals to join our QIC DME team.
The Admin 2 is responsible for various data entry tasks affiliated with the QIC DME program.
-This is a remote opportunity.
*Position is contingent upon contract award
*
Essential Duties and Responsibilities:
- Type/generate letters and other documents, as necessary.
- Assist in the preparation of reports.
- Create files in case management system.
- Update status of case in case management system.
- Fax and email file determination letters to interested parties.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Perform research into invoicing issues and perform outreach to health plans regarding any unpaid invoices.
- Perform quality checks of decisions letters to correct minor errors such as typos and grammer.
- Obtain appropriate information from various resources, such as internal/external references, medical and appeal professionals to generate decisions
- Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product
- Accurately update the workflow database(s)
- Provide administrative support to project
- Performs other duties as assigned by management
Minimum Requirements
- High School diploma, GED, or equivalent required.
- 2-4 years of experience required.
- Prior experience with Microsoft Office Suite preferred
- Prior experience with Medicare Appeals and Systems preferred
- Must be US Citizen or lived in US for last 5 years working 3 years continuously
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compe...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2025-05-21 09:02:14
