Remote Medicare Appeals Nurse | Medical Necessity Review

WPS Health Solutions is seeking an Appeals Nurse to review medical records and claims for first-level appeals to determine medical necessity under Medicare guidelines. The role collaborates with Appeals Examiners/Reps to ensure timely redeterminations are medically reviewed and completed.

A valid RN license and 1+ year clinical experience are required, with remote work options available in approved states. The position offers a competitive salary range of 66–68k with a base pay that may vary by

We are looking to fill the Remote Medicare Appeals Nurse | Medical Necessity Review position at WPS Health Solutions in Hampton, VA, United States.

We are seeking a motivated Remote Medicare Appeals Nurse | Medical Necessity Review to join WPS Health Solutions in Hampton, VA, United States.

Consider building your career as a Remote Medicare Appeals Nurse | Medical Necessity Review at WPS Health Solutions.