Remote Appeals Nurse - Medicare Medical Review
Lakeville, Dakota County, Minnesota, 55044, USA
Listed on 2026-11-06
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Nursing
RN Nurse, Nurse Practitioner, Clinical Nurse Specialist, Healthcare Nursing
WPS Health Solutions is seeking an Appeals Nurse to review medical records and claims for first-level appeal determinations under Medicare guidelines. The RN collaborates with Appeals Examiners to ensure timely redeterminations and clear clinical rationale.
Minimum qualifications include an ASN or BSN and an active RN license, with 1+ year clinical experience. Remote work is allowed in several states with requirements described by the program.
The following position is for a Remote Appeals Nurse
- Medicare Medical Review with WPS Health Solutions.
Join WPS Health Solutions and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote Appeals Nurse
- Medicare Medical Review role at WPS Health Solutions, based in Minneapolis, MN, United States.
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