Remote Appeals RN: Medicare Medical Necessity Reviewer

WPS—A health solutions company is seeking an Appeals Nurse to review medical records and claims information for first-level Medicare appeal cases, determining medical necessity and compliance with CMS guidelines. The RN collaborates with Appeals Examiners to ensure timely redeterminations.

This remote role is eligible in several states, including Florida, with a salary range of 66–68k annually. Benefits include health/dental, 401(k) matching, paid time off, and opportunities for professional

This is a strong opening to take on the Remote Appeals RN:
Medicare Medical Necessity Reviewer role at WPS—A health solutions company.

This role offers the option to work remotely.

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 Appeals RN:
Medicare Medical Necessity Reviewer role in the description above.