Description & Requirements Maximus is currently hiring for a Nurse Manager - Appeals to join our State East - Appeals... team. The Manager is responsible for overseeing a team of clinical staff who are responsible for appeals and case review...
. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment... to submit appeals in accordance with billing office policies and procedures. Forwards medical or coding denials to the QA...