Remote Medicare Appeals Nurse | Case Review Specialist
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Nursing
Clinical Nurse Specialist, RN Nurse, Advanced Practice Nurse/APRN, Nurse Practitioner
Job Description & How to Apply Below
WPS, a health solutions company, is seeking an Appeals Nurse to review medical records and claims for first-level Medicare appeal cases to determine medical necessity and adherence to CMS guidelines. The role supports timely redeterminations and collaborates with Appeals Examiners to ensure quality decisions.
The position requires an active RN license (state of practice) and 1+ year of clinical experience, with strong communication and healthcare regulatory knowledge.
Our organisation is growing, and we are hiring a Remote Medicare Appeals Nurse | Case Review Specialist in Madison, WI, United States.
The Remote Medicare Appeals Nurse | Case Review Specialist position in the Bio & Pharmacology & Health field is open for applications.
We have an opening for a Remote Medicare Appeals Nurse | Case Review Specialist in Madison, WI, United States within Bio & Pharmacology & Health.
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