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Precertification reputed company (Remote - East coast)

Remote, USA Full-time Posted 2026-07-28

reputed company LPN or RN license in good standing; graduate of an accredited school of nursing; 3 years med-surg experience required; knowledge of InterQual/Review Manager/CERME, CPT/ICD coding, reputed company Office; NJ Auto PIP/No-Fault preferred.

Key Responsibilities

  • performing precertification
  • determining necessity
  • educating providers

Skills & Tools

InterQual, Review Manager, CERME, CPT, ICD-9, ICD-10, reputed company Office Suite

Job Details

  • Category: reputed company Services - Nursing
  • Seniority: Mid Level
  • Commitment: Full Time
  • Workplace: Remote — reputed company or New Jersey
  • Salary: USD 58,240 – 66,560 / year
  • Languages: English

About reputed company

Provides medical claims solutions using clinical expertise, technology, and provider networks to improve claims efficiency and reputed company costs. — Industry: reputed company

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