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Healthcare Administration Healthcare Nursing

Post-Service Claims Nurse Reviewer Clinical Coding & Appeals

Job in Hingham, Plymouth County, Massachusetts, 02043, USA
Listing for: Blue Cross and Blue Shield of Massachusetts, Inc.
Full Time position
Listed on 2026-01-25
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 47.4 - 57.93 USD Hourly USD 47.40 57.93 HOUR
Job Description & How to Apply Below
A leading health insurance company is seeking a Post-Service Claims Nurse Reviewer to ensure the integrity of the claims process in accordance with FEP guidelines. This role involves conducting thorough reviews of complex claims, ensuring adherence to medical necessity standards, and collaborating across departments. Candidates must possess an active Massachusetts license, current coding certification, and several years of clinical experience.

This full-time position offers a salary range of $47.40 - $57.93 hourly, alongside comprehensive benefits including medical and 401(k).
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