Remote Appeals Nurse: Medicare Case Review Specialist
South Sioux City, Dakota County, Nebraska, 68776, USA
Listed on 2026-11-07
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Nursing
Clinical Nurse Specialist
WPS—A health solutions company is seeking an Appeals RN to review medical records and claims for first-level appeal cases, ensuring services were medically necessary and compliant with Medicare guidelines. The role collaborates with Appeals Examiners to support timely redeterminations.
Responsibilities include drafting persuasive appeal letters, coordinating with redetermination teams, and staying current with healthcare laws.
We would love to welcome a new Remote Appeals Nurse:
Medicare Case Review Specialist to our organisation in NE, United States.
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 Nurse:
Medicare Case Review Specialist role in the description above.
We appreciate your interest in this position.
Join WPS—A health solutions company and contribute to our ongoing work.
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