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Your search generated 90 results
WPS Health Solutions

Claims Rep II

Kansas City, Missouri

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Des Moines, Iowa

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Marion, Illinois

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
Remote
WPS Health Solutions

Claims Rep II

Texas

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Newark, New Jersey

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Bridgeport, Connecticut

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Charlotte, North Carolina

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Madison, Wisconsin

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Fargo, North Dakota

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Jacksonville, Florida

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time

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