Coordinator - Appeals

Requirements

Description & Requirements

Maximus is looking to fill an Coordinator - Appeals position. The essential duties of this role includes analyzing submitted data, meeting critical deadlines for complex cases, and providing thorough responses to inquiries from participants, all while adhering to state laws, regulations, and client contracts.

Essential Duties and Responsibilities:

• Function as a Subject Matter Expert in one or more process areas.
• Analyze data submitted for Independent Medical Review.
• Track and meet required deadlines for complex cases or other assigned tasks.
• Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
• Answer and respond to phone calls/emails from participants in the Independent Medical Review process.

Home Office Requirements:

• Reliable high-speed internet service

⋆ Minimum 25 Mpbs download speeds/50 Mpbs for shared internet connectivity

⋆ Minimum 5 Mpbs upload speeds **

Minimum Requirements**

Minimum Requirements:

• High School diploma, GED, or equivalent required.
• 0-2 years of experience required.

Preferred, But Not Required

• Call center experience
• Digital Mailing (Faxing)
• Microsoft Excel
• Ability to draft proper email correspondence
• Proficiency with Microsoft and Salesforce programs
• 2+ years office experience preferably medical

EEO Statement

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

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 ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.