More jobs:
Remote Appeals RN: Medicare Medical Necessity Review
Remote / Online - Candidates ideally in
Denver, Denver County, Colorado, 80285, USA
Listed on 2026-08-22
Denver, Denver County, Colorado, 80285, USA
Listing for:
WPS Health Solutions
Remote/Work from Home
position Listed on 2026-08-22
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
WPS Health Solutions seeks an Appeals Nurse to review medical records and claims for first-level appeal cases to determine medical necessity and adherence to Medicare guidelines. You will collaborate with Appeals Examiners to ensure redeterminations are medically reviewed and completed timely.
Responsibilities include preparing written rationales, maintaining CMS-compliant timelines, and staying current with healthcare regulations.
#J-18808-LjbffrTo View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×