Medical Review Nurse
Qlarant•Dallas, TX
477d
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About The Position
The Medical Review Nurse at Qlarant is an entry-level position responsible for performing medical record and claims reviews for Medicare, Medicaid, and other claims data. The role involves ensuring compliance with guidelines, identifying potential overpayments, fraud, waste, and abuse, and participating in investigations as part of a team. The position requires effective communication and analytical skills to resolve claims issues and improve processes.
