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Remote Senior Medical Claims Reviewer
Remote / Online - Candidates ideally in
Blue Springs, Jackson County, Missouri, 64014, USA
Listed on 2026-07-13
Blue Springs, Jackson County, Missouri, 64014, USA
Listing for:
CGS Administrators LLC
Full Time, Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
CGS Administrators LLC is seeking a qualified RN to create and analyze medical claim reviews and support operations. You will determine medical necessity and appropriate coverage decisions, documenting rationale for payment denials or approvals while ensuring data accuracy for senior management.
The role supports home health and complex cases, with full-time remote work during business hours CST; requires strong clinical experience, knowledge of managed care, and excellent communication.
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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