Description & Requirements Maximus is currently hiring for an Appeals Nurse to join our State East team.... This is a remote opportunity. The Appeals Nurse is responsible for facilitating the review portion of the case. They will review the...
expertise such as appeals, QA, Second Set of Eyes, True Positive Rate Re-review, training, Root Cause, Clinical Program... OR older Certified Coder AHIMA or AAPC Certified coder (CPC, CCS, CCA,) - OR - Nurse (RN, LPN) with unrestricted license 2...
following the medical review process for all requests for medical reviews and appeals received from billing intermediaries... within all required EMR’s, payer /contractor portals to produce and submit all requested reviews and appeals as needed. Compiles...
following the medical review process for all requests for medical reviews and appeals received from billing intermediaries... within all required EMR’s, payer /contractor portals to produce and submit all requested reviews and appeals as needed. Compiles...
hospital. Obtaining insurance approvals and authorizations, as well as facilitating appeals for patients Demonstrates... Current and valid state licensure or eligibility for state licensure as a Registered Nurse, Physical Therapist, Occupational...