Remote Clinical Review Nurse - Medicare Claims

SCAN Group

SCAN Group is seeking a clinical reviewer to provide expert review of medical claims and post-service appeals. You will analyze complex claims from a medical perspective, ensure CMS guideline compliance, and collaborate with the Medical Director on adjudication.

The role requires an active California RN license, 3–5 years of Medicare-claims experience, and a strong capability in clinical decision making. This is a remote, full-time position with competitive hourly compensation and benefits.

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Vacancy posted 1 day ago

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