Remote Medicare Appeals RN — Clinical Review Expert
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Nursing
RN Nurse, Clinical Nurse Specialist, Nurse Educator, Healthcare Nursing
Job Description & How to Apply Below
WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims for first-level Medicare appeal cases, assessing medical necessity and adherence to CMS guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations and compliant processing.
The ideal candidate holds an ASN or BSN and an active RN license, with at least 1 year of clinical experience, strong communication, and solid understanding of medical review processes.
The Remote Medicare Appeals RN — Clinical Review Expert role at WPS Health Solutions is now open for applications in Green Bay, WI, United States.
This opportunity is for the Remote Medicare Appeals RN — Clinical Review Expert role at WPS Health Solutions.
We are seeking a motivated Remote Medicare Appeals RN — Clinical Review Expert to join WPS Health Solutions in Green Bay, WI, United States.
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