Broadway Ventures is seeking an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals. This remote, full-time role requires applying clinical expertise and established guidelines to determine medical necessity and support accurate payment determinations.
You will educate internal teams on medical review processes and coding requirements, contribute to quality control, and assist with special projects as
#J-18808-LjbffrRemote RN Medical Reviewer — Claims & Coverage in northern at Unknown Company
- Typical pay
- $71,760–$115,000
For context, most registered nurses earn between $71,760–$115,000 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.