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Medical Review Nurse Analyst (RN) - REMOTE


Pay$68000.00 - $70000.00 / year
LocationMadison/Wisconsin
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: MEDIC005622
      Employer Industry: Health Insurance and Government Contracting

      Why Consider this Job Opportunity:
      - Salary up to $70,000 annually
      - Opportunity for career advancement and growth within the organization
      - Work remotely with flexible daytime hours and holidays off
      - Collaborative team environment with clinicians and non-clinicians
      - Gain deep understanding of Medicare and government healthcare guidelines
      - Experience continuous performance feedback

      What to Expect (Job Responsibilities):
      - Review medical documentation submitted to Medicare for billing accuracy
      - Educate providers on documentation requirements and billing guidelines
      - Monitor progress of assigned providers and ensure correct reimbursement
      - Perform medical documentation reviews
      - Deliver provider education in accordance with the Targeted Probe and Educate program

      What is Required (Qualifications):
      - Associate's or Bachelor's Degree in Nursing
      - Active RN license applicable to state of practice
      - 4 or more years of experience in clinical nursing
      - Background in government Medicare principles and guidelines
      - Technical proficiency with computers

      How to Stand Out (Preferred Qualifications):
      - Bachelor's Degree in Nursing
      - Experience with government Medicare principles and guidelines
      - Strong written and verbal communication skills

      #HealthInsurance #GovernmentContracting #RemoteWorkOpportunity #CareerGrowth #MedicareGuidelines

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  • About the company

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