WPS Health Solutions
The Appeals Registered Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines. The role involves collaborating with Appeals Examiners and Representatives to ensure timely and medically reviewed redeterminations. This position requires a strong understanding of healthcare laws, regulations, and policies to ensure compliance with CMS standards and company requirements.
At WPS, we relentlessly pursue health solutions and value for those we serve.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for WPS Health Solutions.
23% below the average for this role