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Medicare Grievance & Appeals Nurse - Remote

Apolis

Phoenix, AZ
  • Remote job

Apolis is seeking a Grievance and Appeals RN in Phoenix, AZ (or remote within AZ time zone) to review and investigate member and provider grievances and appeals for Medicare Part C and Part D. The nurse reviews medical records, claims, authorizations, and plan benefits to make determinations in accordance with CMS requirements and timelines. The role requires an active Arizona nursing license (RN or LPN), a healthcare degree, and at least 5 years in grievances/appeals, prior authorization, #J-18808-Ljbffr Apolis

Vacancy posted 1 day ago
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