Remote Medicaid Medical Reviewer – Fraud & Claims Expert
Peraton is seeking a Nurse Reviewer for Medicaid to support Safeguard Services (SGS). You will review medical records, apply clinical judgment to determine payment decisions, and assist in fraud detection and recovery efforts.
Responsibilities include researching regulations, identifying Medicaid payment issues across providers, and preparing referral letters while coordinating with external agencies. Telework is available from the contiguous United States.
Step into the Remote Medicaid Medical Reviewer – Fraud & Claims Expert role at Peraton in Herndon, VA, United States and grow with us.
The advertised compensation is 66..
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Medicaid Medical Reviewer – Fraud & Claims Expert role in the description above.
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