WPS Health Solutions is seeking an Appeals Nurse to review medical records and claims for first-level appeal determinations under Medicare guidelines. The RN collaborates with Appeals Examiners to ensure timely redeterminations and clear clinical rationale.
Minimum qualifications include an ASN or BSN and an active RN license, with 1+ year clinical experience. Remote work is allowed in several states with requirements described by the program.
#J-18808-LjbffrAppeals Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.