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Senior Medical Claims Reviewer; Remote

Remote / Online - Candidates ideally in
Portland, Cumberland County, Maine, 04122, USA
Listing for: CGS Administrators LLC
Full Time, Remote/Work from Home position
Listed on 2026-07-13
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Compliance, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 51107 - 97729 USD Yearly USD 51107.00 97729.00 YEAR
Job Description & How to Apply Below
Position: Senior Medical Claims Reviewer (Remote)

CGS Administrators LLC offers a full-time remote opportunity for a qualified RN with clinical experience and medical review expertise. The role supports operations by creating and analyzing reports, ensuring data accuracy, and guiding decisions made by senior management.

The position emphasizes evaluation of medical necessity, coding procedures, and education of staff across departments, with standard 8:00 AM–4:30 PM CST hours and remote work flexibility.

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Position Requirements
10+ Years work experience
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