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Remote RN Medical Reviewer II: Claims & Compliance

Remote / Online - Candidates ideally in
Auburn, Lee County, Alabama, 36830, USA
Listing for: Southcarolinablues
Full Time, Remote/Work from Home position Listed on 2026-11-05
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 60000 - 90000 USD Yearly USD 60000.00 90000.00 YEAR

Job Description & How to Apply Below

Blue Cross Blue Shield of South Carolina is seeking a RN Medical Reviewer II for a full-time remote position based in Alabama. The role involves reviewing medical claims, determining medical necessity, and ensuring timely processing in line with guidelines.

The ideal candidate holds an RN license (state or compact), an associate degree in a related field, and at least two years of clinical experience. Strong communication and analytical skills are essential, along with proficiency in Microsoft

The Remote RN Medical Reviewer II:
Claims & Compliance role at Southcarolinablues is now open for applications in AL, United States.

The advertised compensation is 60.000 - 90.000.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote RN Medical Reviewer II:
Claims & Compliance role in the description above.

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