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Remote Appeals RN: Medicare Medical Necessity Expert

WPS Health Solutions

Detroit, MI
  • Remote job

WPS Health Solutions is seeking an Appeals Nurse to review medical records and appeals for Medicare services. This role involves evaluating clinical necessity, preparing compelling rationales, and coordinating with the appeals team to resolve determinations in a timely manner. The ideal candidate holds an ASN/BSN, an active RN license, and 1+ year of clinical experience, with strong communication and detail orientation. #J-18808-Ljbffr WPS Health Solutions

Vacancy posted 8 hours ago
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