Medicare Appeals Nurse — Remote Review Expert
WPS Health Solutions
Newark, NJ
- Remote job
WPS Health Solutions is seeking an Appeals Nurse to review medical records for first-level appeal cases to determine medical necessity and Medicare coverage alignment. The role collaborates with Appeals Examiners to ensure timely redeterminations and adherence to CMS regulations, with remote-work options for approved states. It involves preparing written rationales and managing multiple cases concurrently. #J-18808-Ljbffr WPS Health Solutions
Vacancy posted 4 days ago
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WPS—A health solutions company
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