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Remote Claims Review Nurse - Dispute Resolution Expert
Remote / Online - Candidates ideally in
Virginia, Cass County, Illinois, 62691, USA
Listed on 2026-08-26
Virginia, Cass County, Illinois, 62691, USA
Listing for:
Capitol Bridge.
Remote/Work from Home
position Listed on 2026-08-26
Job specializations:
-
Nursing
Public Health Nurse
Job Description & How to Apply Below
Capitol Bridge seeks an experienced Claims Review Nurse to resolve healthcare claim disputes under state IRO programs. You will evaluate documentation, coordinate with clinical reviewers, and work with health plans, providers, and enrollees to reach timely determinations with accuracy and professional integrity.
This remote position supports state-wide health plan disputes, requires active nursing licensure and at least five years of patient care experience, and emphasizes compliance with CPT
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