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Remote Appeals Nurse: Medicare Medical Necessity
Remote / Online - Candidates ideally in
Kokomo, Howard County, Indiana, 46901, USA
Listed on 2026-08-14
Kokomo, Howard County, Indiana, 46901, USA
Listing for:
WPS Health Solutions
Remote/Work from Home
position Listed on 2026-08-14
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
Job Description & How to Apply Below
WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims for first-level appeal cases to determine medical necessity and alignment with Medicare guidelines. You will collaborate with Appeals Examiners to ensure timely redeterminations are medically reviewed as needed.
The role requires 1+ year nursing experience, active RN license, and strong communication skills. Remote work options are available for approved states, with benefits including health coverage and
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