Remote Appeals Nurse – Medicare Medical Necessity Expert
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Nursing
RN Nurse, Clinical Nurse Specialist, Nurse Practitioner, Healthcare Nursing
Job Description & How to Apply Below
WPS Health Solutions is seeking an Appeals Nurse to review medical records and claims for first-level Medicare appeals, ensuring medical necessity and policy alignment. The role collaborates with Appeals Examiners to support timely redeterminations and maintain regulatory compliance.
The RN will lead documentation, write compelling appeal letters, and coordinate with Redetermination Representatives to meet CMS timelines.
Consider building your career as a Remote Appeals Nurse – Medicare Medical Necessity Expert at WPS Health Solutions.
The position is based in Jacksonville, FL, 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.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Appeals Nurse – Medicare Medical Necessity Expert role in the description above.
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