Remote Appeals RN - Medicare Medical Necessity

WPS Health Solutions is seeking an Appeals Nurse (RN) to examine medical records and claims for first-level appeal cases to determine medical necessity and adherence to Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations and compliant review.

You will review documentation, prepare written letters with rationales, and monitor follow-ups while staying current with healthcare laws and CMS requirements.

Consider building your career as a Remote Appeals RN
- Medicare Medical Necessity at WPS Health Solutions.

We invite applications for the Remote Appeals RN
- Medicare Medical Necessity position located in Kansas City, MO, United States.

The following opportunity is for a Remote Appeals RN
- Medicare Medical Necessity with WPS Health Solutions.

Our organisation is growing, and we are hiring a Remote Appeals RN
- Medicare Medical Necessity in Kansas City, MO, United States.