26 Sep
Investigator Assistant
California, Sanjose 00000 Sanjose USA

Vacancy expired!

Description SHIFT: Day JobSCHEDULE: Full-timeInvestigator AssistantThis position will be a remote opportunityResponsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse.Primary duties may include, but are not limited to:

Collects, researches, and validates bills and claims data against relevant guidelines.

Assists in preparation of statistical and financial analysis reports.

Requests medical records and additional documentation required for investigation.

Completes initial file set-up and tracks cases.

Processes and tracks all incoming reimbursement checks.

Assists in managing fraud hotline calls.

Provides administrative support for investigative management and staff.

Qualifications

Requires a high school diploma/GED, 1-3 years experience; or any combination of education and experience, which would provide an equivalent background.

Healthcare claims experience is strongly preferred

Proficient in Mocrosoft Office-specifically Excel is required.

AnEqualOpportunityEmployer/Disability/VeteranREQNUMBER: PS39581

Vacancy expired!


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