Remote Appeals Nurse: Medicare Case Reviewer
WPS—A health solutions company
Brooklyn, NY
- Remote job
WPS Health Solutions is seeking an Appeals Nurse to review medical records and claims for first-level Medicare redeterminations to determine medical necessity and coverage alignment. You will collaborate with Appeals Examiners/Reps to ensure timely, accurate determinations and required documentation is prepared for CMS and internal policies. The role requires an RN license, ASN/BSN, and 1+ year clinical experience, with strong communication and attention to detail. #J-18808-Ljbffr WPS—A health solutions company
Vacancy posted 1 day ago
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