Remote Medicare Appeals Nurse | Case Review Specialist
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Nursing
Clinical Nurse Specialist, RN Nurse, Advanced Practice Nurse/APRN, Nurse Practitioner
Job Description & How to Apply Below
WPS, a health solutions company, is seeking an Appeals Nurse to review medical records and claims for first-level Medicare appeal cases to determine medical necessity and adherence to CMS guidelines. The role supports timely redeterminations and collaborates with Appeals Examiners to ensure quality decisions.
The position requires an active RN license (state of practice) and 1+ year of clinical experience, with strong communication and healthcare regulatory knowledge.
This posting is for the Remote Medicare Appeals Nurse | Case Review Specialist role at WPS—A health solutions company, based in Madison, WI, United States.
We have an opening for a Remote Medicare Appeals Nurse | Case Review Specialist in Madison, WI, United States within Bio & Pharmacology & Health.
This role, Remote Medicare Appeals Nurse | Case Review Specialist at WPS—A health solutions company, could be your next opportunity.
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