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Remote RN Medical Reviewer III - Home Health & Hospice

Southcarolinablues

Nashville, TN
  • Remote job

BlueCross BlueShield of South Carolina is seeking a Medical Reviewer III for Home Health and Hospice. This remote role supports operations with 40-hour weeks, typical business hours CST, and requires RN licensure and strong clinical/medical review experience. Primary duties include reviewing complex medical claims, preauthorization and appeals, ensuring accurate coding and payment decisions, and educating internal staff. Travel may be minimal as needed. #J-18808-Ljbffr Southcarolinablues

Vacancy posted 4 days ago
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