WPS Health Solutions is seeking an Appeals Nurse to examine medical records and claims information for first-level appeal cases to determine whether services were medically necessary and meet Medicare guidelines. The role collaborates with Appeals Examiners to ensure redeterminations are reviewed as needed and completed timely.
This position supports remote work in multiple states, with a base salary of 66–68k, and requires RN licensure, ASN/BSN, and clinical experience.
#J-18808-LjbffrRemote Medicare Appeals Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.