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Remote Cortex Rn Jobs in Madison, WI (NOW HIRING)

WPS

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Partner with the RN team to ensure appeals requiring medical documentation are reviewed by ... Remote Work Requirements * High speed cable or fiber internet * Minimum of 10 Mbps downstream and ...

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Remote Cortex Rn information

What are the key skills and qualifications needed to thrive as a Remote Cortex RN, and why are they important?

To thrive as a Remote Cortex RN, you need a valid RN license, strong clinical judgment, and proficiency in remote patient monitoring and telehealth practices. Familiarity with telemedicine platforms, electronic health records (EHRs), and secure communication systems is crucial. Exceptional communication, critical thinking, and the ability to work independently are important soft skills in this role. These competencies ensure effective remote care, patient safety, and smooth collaboration with healthcare teams despite the physical distance.

What are some common challenges Remote Cortex RNs face while providing patient care from a distance?

Remote Cortex RNs often navigate challenges such as building trust with patients without face-to-face interaction, ensuring clear communication through digital platforms, and adapting clinical assessments to virtual formats. They must stay organized and proactive in following up on patient needs, as well as collaborate closely with physicians and interdisciplinary teams remotely. Staying updated on telehealth best practices and technology can help overcome these hurdles and ensure high-quality patient care.

What is a Remote Cortex RN?

A Remote Cortex RN is a registered nurse who works remotely to monitor and manage patient data using the Cortex platform or similar remote patient monitoring technologies. These nurses assess patient information, provide virtual consultations, and coordinate care from a distance, allowing for continuous patient support without the need for in-person visits. This role requires strong clinical knowledge, technological proficiency, and excellent communication skills to ensure high-quality patient care in a virtual environment.

How much does Cortex pay nurses?

Cortex RNs typically earn an hourly rate that ranges from $30 to $50, depending on experience, location, and shift. Compensation may also include benefits such as health insurance and paid time off, with remote nursing roles often offering flexible schedules.

What is the difference between Remote Cortex Rn vs Remote Medical Assistant?

AspectRemote Cortex RnRemote Medical Assistant
CredentialsRegistered Nurse (RN) licenseCertified Medical Assistant (CMA) or similar certification
Work EnvironmentTelehealth, hospitals, clinicsTelehealth, clinics, outpatient settings
Job ResponsibilitiesPatient assessments, care planning, medication managementScheduling, patient intake, basic clinical support
Industry UsageHealthcare, telemedicineHealthcare, outpatient services

Remote Cortex Rn and Remote Medical Assistant roles both operate in healthcare settings, often remotely, but RNs require licensure and handle clinical patient care, while Medical Assistants focus on administrative and basic clinical tasks. Understanding these differences helps job seekers find roles aligned with their credentials and career goals.

What are popular job titles related to Remote Cortex Rn jobs in Madison, WI? For Remote Cortex Rn jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Remote Cortex Rn jobs in Madison, WI look for? The top searched job categories for Remote Cortex Rn jobs in Madison, WI are:
What cities near Madison, WI are hiring for Remote Cortex Rn jobs? Cities near Madison, WI with the most Remote Cortex Rn job openings:
Remote Cortex Rn jobs near you
Claims Examiner II

Claims Examiner II

WPS

Madison, WI • On-site, Remote

$17.75/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 18 days ago

Job description

U.S. citizenship is required for this position due to Department of Defense restrictions.
Our Claims Examiner II Receives, researches, and reviews allegations of fraud or abuse by beneficiaries and providers. Review issues of TRICARE eligibility, other health insurance concealment, balance billing and assignment of benefit violations, and claim adjudications questions or issues.
Additional Information
  • Start Date: June 16, 2026
  • Starting Base Salary: $17.75/hour
  • Training Location/Schedule: On the job training typically remote.
  • Scheduled Shift: Monday through Friday, 8:00am ~ 5:00pm CT. (Flex schedule is possible.)
  • Work Location: 100% remote opportunity. Please note that the assigned office for this position is in Madison, WI and remote employees may be required to work at this location at times. Must reside within a 45-mile radius of Madison, WI - WPS Headquarters (1717 W. Broadway in Madison, WI, 53713)

In this role you will:
  • Review and assess incoming appeals, applying relevant policies and guidelines to render accurate approval or denial decisions.
  • Organize and maintain case files, thoroughly evaluate documentation, and analyze evidence to support informed determinations.
  • Partner with the RN team to ensure appeals requiring medical documentation are reviewed by qualified personnel and resolved appropriately.
  • Prepare clear, detailed written decisions that explain the rationale for determinations and reference applicable policies and procedures.
  • Review incoming Appeals mail to ensure it is being submitted to the appropriate team.
  • Initiate adjustments, reprocesses and serve as resource for other teams.

Minimum Qualifications
  • U.S. citizenship is required for this position due to Department of Defense restrictions.
  • High school diploma or equivalent.
  • 2 years or more in claims and customer service-related field working with public.
  • Ability to learn and apply governing TRICARE regulations, policies, and procedures.

Preferred Qualifications
  • 2 years or more of post-high school coursework in Accounting, Auditing, or Health Care related curriculum.
  • 2 years or more in Accounting, Auditing, or related field, or medical-related field such as Coding or Medical Assistant.

Remote Work Requirements
  • High speed cable or fiber internet
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
  • Please review Remote Worker FAQs for additional information

Benefits
  • Bargaining Unit position
  • Remote and hybrid work options available
  • Performance bonus and/or merit increase opportunities
  • 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Employee Resource Groups
  • Professional and Leadership Development Programs
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
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This position supports services under U.S. Department of Defense (DoD) Defense Health Agency (DHA) contract(s). As such, the role is subject to all applicable federal regulations, DoD contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. DoD contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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