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Remote Medical Review Nurse: Medicare Claims Governance

SCAN Health Insurance

Sacramento, CA
  • Remote job

SCAN Health Insurance in the United States is seeking a clinically focused claims reviewer with an active California RN license to evaluate complex medical claims and post-service appeals. You will interpret CMS guidelines, determine medical necessity, and collaborate with leadership to ensure accurate determinations. This remote role offers a base hourly wage, annual bonus program, and strong wellness and PTO benefits. #J-18808-Ljbffr SCAN Health Insurance

Vacancy posted 3 days ago
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