Remote Healthcare Fraud Investigator II

Job is Expired
Location: Indiana
Compensation: Hourly
Staff Reviewed: Mon, Jun 14, 2021

Job Summary

A health insurance company is seeking a Remote Healthcare Fraud Investigator II.

Candidates will be responsible for the following:

  • Providing claim reviews for appropriate coding, data mining, and entity review
  • Identifying and developing enterprise-wide specific healthcare investigations
  • Establishing rapport and on-going working relationship with law enforcement

Skills and Requirements Include:

  • BA/BS degree, 3+ years related experience; or equivalent of education and experience
  • Knowledge of Plan policies and procedures in all facets of benefit programs management
  • Fraud certification from CFE, AHFI, AAPC or coding certificates preferred

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