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Remote Medical Claim Review Nurse; RN/Appeals
Remote / Online - Candidates ideally in
Seattle, King County, Washington, 98101, USA
Listed on 2026-08-29
Seattle, King County, Washington, 98101, USA
Listing for:
Walker Healthforce, LLC
Remote/Work from Home
position Listed on 2026-08-29
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
Walker Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role focuses on retrospective medical necessity reviews, appeals, and payment integrity within Molina Healthcare of Washington.
The ideal candidate holds an active RN license (LPN/LVN accepted) and 3–5 years of appeals review experience, with strong coding knowledge (ICD-10, CPT, HCPCS) and proficiency in PEGA A&G, PEGA UM, or QNXT.
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