Remote Appeals RN: Medicare Medical Review & Denials

WPS—A health solutions company

WPS, a health solutions company, is hiring an Appeals Nurse to review medical records and claims for first-level appeal cases, ensuring medical necessity and adherence to Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations and compliance with CMS requirements.

Remote work is available from select states including Minnesota. Required qualifications include an ASN/BSN, an active RN license, 1+ year of clinical experience, and proficiency in medical

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Vacancy posted 5 days ago

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