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Commence, LLC

Remote Medicare Nurse Reviewer - Claims & Compliance

virginia, IL

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About this opportunity

Commence, LLC lists this Remote Medicare Nurse Reviewer - Claims & Compliance opportunity in virginia, Illinois. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Commence is seeking a Nurse Reviewer to perform complex medical record reviews of Medicare Part A/B and DMEPOS claims. The role requires clinical judgment to assess payment validity according to CMS guidelines.

The position is remote, offering flexibility while demanding high accuracy and adherence to medical standards. An RN license and 2–4 years of clinical experience are required, with strong documentation skills and HIPAA compliance.

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Worksite address

virginia, IL, 62691, US

Who can apply

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