Remote Medicare Appeals Nurse | Case Review Specialist
WPS—A health solutions company
Madison, WI
- Remote job
WPS, a health solutions company, is seeking an Appeals Nurse to review medical records and claims for first-level Medicare appeal cases to determine medical necessity and adherence to CMS guidelines. The role supports timely redeterminations and collaborates with Appeals Examiners to ensure quality decisions. The position requires an active RN license (state of practice) and 1+ year of clinical experience, with strong communication and healthcare regulatory knowledge. #J-18808-Ljbffr WPS—A health solutions company
Vacancy posted 3 days ago
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