Remote Appeals Registered Nurse - Medicare Medical Review
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Nursing
RN Nurse, Clinical Nurse Specialist, Healthcare Nursing, Nurse Practitioner
Job Description & How to Apply Below
WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims for first-level appeal cases, determining medical necessity and Medicare coverage compliance. The RN collaborates with Appeals Examiners to ensure redeterminations are reviewed and completed in a timely manner.
This position supports remote work in approved states, including Ohio. Ideal candidates will have an ASN/BSN, active RN license, 1+ year clinical experience, and strong communication skills to
Step into the Remote Appeals Registered Nurse - Medicare Medical Review role at WPS—A health solutions company in OH, United States and grow with us.
All applications are reviewed carefully by our team.
The position is based in OH, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 66.000 - 68.000.
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