California Licensed SIU Specialist

Job Summary

A company is looking for a SIU Specialist - Remote in the California market.

Key Responsibilities

• Maintain a caseload of fraud, waste, and abuse incidents, prioritizing and managing workload to meet performance metrics
• Conduct preliminary investigations by analyzing data and gathering information from various sources
• Document findings and recommendations clearly and concisely while providing backup support to team members as needed

Required Qualifications

• Bachelor's degree preferred
• 2+ years of experience in fraud investigations and claims
• Knowledge of healthcare coding conventions, fraud schemes, and relevant regulations
• Proficiency in Microsoft Office applications
• Must be eligible to work in the United States without visa sponsorship