Remote Appeals Nurse: Medicare Medical Necessity Expert
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Nursing
RN Nurse, Clinical Nurse Specialist, Healthcare Nursing, Advanced Practice Nurse/APRN
Job Description & How to Apply Below
WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims information for first-level appeal cases, determining medical necessity under Medicare guidelines. You will collaborate with Appeals Examiners to ensure redeterminations are medically reviewed and completed timely.
The role requires an active RN license (ASN/BSN), 1+ year clinical experience, strong communication and meticulous organizational skills, and the ability to work remotely from approved states.
We have an opening for a Remote Appeals Nurse:
Medicare Medical Necessity Expert in Atlanta, GA, United States within Bio & Pharmacology & Health.
The position is based in Atlanta, GA, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 66.000 - 68.000.
We aim to respond to suitable candidates as soon as possible.
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