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Healthcare Administration

Clinical Appeals Nurse Reviewer - Denials & Medical Policy

Job in Hingham, Plymouth County, Massachusetts, 02043, USA
Listing for: Blue Cross and Blue Shield of Massachusetts Inc.
Full Time position
Listed on 2026-03-07
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 41.72 - 50.99 USD Hourly USD 41.72 50.99 HOUR
Job Description & How to Apply Below
A healthcare company in Hingham is looking for an Appeals Nurse Reviewer. The successful candidate will facilitate and respond to provider appeals for denied services, requiring strong clinical, regulatory, and coding knowledge. The role demands collaboration with various departments to resolve claims appeals. Candidates must hold a valid RN license in Massachusetts and have coding credentials. This position offers a comprehensive benefits package and a competitive salary range between $41.72 - $50.99 per hour.
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