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Remote Medicare Appeals Nurse | First-Level Reviews

$66k - $68k

WPS—A health solutions company

WPS is seeking an Appeals Nurse (RN) to evaluate medical records and claims for first-level Medicare appeals, ensuring medical necessity and compliance with guidelines. You will collaborate with Appeals Examiners to finalize redeterminations promptly.

The role supports remote work in approved US states, offers a salary of 66–68k USD annually, and requires ASN/BSN with an active RN license and 1+ year clinical experience.

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Vacancy posted 1 day ago
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