WPS Health Solutions
Medical Review Nurse Analyst (RN) - REMOTE
This job is now closed
Job Description
- Req#: MEDIC005640
Employer Industry: Health Insurance
Why consider this job opportunity:
- Salary up to $70,000 annually
- Opportunity for career advancement and growth within the organization
- Remote work option available
- Performance bonus and/or merit increase opportunities
- Competitive benefits package including health insurance, dental insurance, and telehealth services
- Chance to collaborate with a diverse team of clinicians and non-clinicians
What to Expect (Job Responsibilities):
- Review medical documentation submitted to Medicare to ensure providers are billing and being paid appropriately
- Educate providers on documentation requirements for services rendered
- Monitor providers' progress and educate on current billing and documentation requirements
- 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 the state of practice
- Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection
- Technical proficiency on computers
- Strong verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Bachelor’s Degree in Nursing
- 4 or more years of experience in clinical nursing
- Experience with background in government Medicare principles and guidelines
#HealthInsurance #RemoteWork #CareerAdvancement #CompetitivePay #BenefitsPackage
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
WPS Health Solutions is still a leading not-for-profit health insurer in Wisconsin, and our services have grown to reach active-duty and retired military personnel, seniors, and families in Wisconsin, across the U.S., and around the world.
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