Medicare Appeals Nurse - Remote Medical Review Expert

WPS Health Solutions

Remote job

WPS Health Solutions is hiring an Appeals Nurse RN to review medical records and claims for first-level appeal cases to determine medical necessity according to Medicare guidelines. This remote-friendly role supports timely redeterminations and collaborates with Appeals Examiners to ensure quality reviews. The position requires an active RN license (state of practice) and 1+ year of clinical experience, with strong communication and organizational skills. #J-18808-Ljbffr WPS Health Solutions

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Vacancy posted 4 days ago

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