Remote Appeals Administrator — Healthcare Data Review

Maximus; Lansing (MI); Remote; USD 27,000 - 39,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

401K with company match

Paid time off

Disability coverage

Tuition reimbursement

Wellness programs

Job summary

Maximus is seeking a Senior Administrator - Appeals to join the California Independent Medical Review (CA IMR) team. This fully remote role involves analyzing and entering medical case information, reviewing documentation for accuracy, and supporting the independent medical review process.

The position offers flexible scheduling, comprehensive training, company-issued equipment, and a collaborative environment focused on helping employees succeed.

Qualifications

• Strong analytical skills and attention to detail are required.
• Excellent written and verbal communication abilities are essential.
• Knowledge of medical terminology is preferred for accurate documentation.

Responsibilities

• Analyze data submitted for Independent Medical Review.
• Input and validate medical case information into the system.
• Respond to inquiries from clients, health plans, and enrollees regarding case status.

Skills

Analytical skills

Attention to detail

Written and verbal communication

Medical terminology

Medical record review

Education

Associate degree

HS Diploma or GED with 4 years experience

Tools

Web-based applications

Job description

Maximus is seeking a Senior Administrator - Appeals to join the California Independent Medical Review (CA IMR) team. This fully remote role involves analyzing and entering medical case information, reviewing documentation for accuracy, and supporting the independent medical review process.

The position offers flexible scheduling, comprehensive training, company-issued equipment, and a collaborative environment focused on helping employees succeed.