Remote Appeals Registered Nurse - Medicare Medical Review
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Nursing
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, determining medical necessity and Medicare coverage compliance. The RN collaborates with Appeals Examiners to ensure redeterminations are reviewed and completed in a timely manner.
This position supports remote work in approved states, including Ohio. Ideal candidates will have an ASN/BSN, active RN license, 1+ year clinical experience, and strong communication skills to
We have an opening for a Remote Appeals Registered Nurse - Medicare Medical Review in OH, United States within Bio & Pharmacology & Health.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in OH, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
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