Remote Medical Claims Investigator

Peraton

Oregon

Hybrid

USD 66,000 - 106,000

Full time

7 days ago
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Benefits offered by this job

Telework option

Job summary

Peraton, a national security company, is seeking a Medical Review Analyst for SafeGuard Services. You will review medical records, apply clinical judgment to determine claim payments, and research data to identify fraud patterns. Clear communication and analytical skills are essential.

The role requires nursing/clinician background, licenses, and US citizenship. Telework is available from the contiguous United States.

Qualifications

  • Clinical nursing or equivalent healthcare background with medical claims review experience.

Responsibilities

  • Conduct medical record reviews and apply clinical judgment to claim payments.

Skills

Registered Nurse background
Clinical license
Investigative skills
Communication skills
PC knowledge
U.S. citizenship

Education

BS/BA
MS/MA
PhD

Job description

Peraton, a national security company, is seeking a Medical Review Analyst for SafeGuard Services. You will review medical records, apply clinical judgment to determine claim payments, and research data to identify fraud patterns. Clear communication and analytical skills are essential.

The role requires nursing/clinician background, licenses, and US citizenship. Telework is available from the contiguous United States.

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