Remote Medicare Appeals Nurse

WPS Health Solutions

WPS Health Solutions is seeking an Appeals Nurse to examine medical records and claims information for first-level appeal cases to determine whether services were medically necessary and meet Medicare guidelines. The role collaborates with Appeals Examiners to ensure redeterminations are reviewed as needed and completed timely.

This position supports remote work in multiple states, with a base salary of 66–68k, and requires RN licensure, ASN/BSN, and clinical experience.

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Vacancy posted 1 day ago

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