Remote Healthcare Fraud Referral Intake and Triage Coordinator

Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, U.S. Virgin Islands, Vermont, Virginia, West Virginia, Wisconsin

Compensation: To Be Discussed

Staff Reviewed: Fri, Jan 08, 2021

This job expires in: 18 days

Job Category: Financial

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

Job Summary

A healthcare company has a current position open for a Remote Healthcare Fraud Referral Intake and Triage Coordinator.

Core Responsibilities Include:

  • Identifying, detecting and investigating allegations of fraud and abuse
  • Completing investigations within policy timelines
  • Reviewing and coordinating detailed research

Position Requirements Include:

  • 2-3 years college level courses, Associates/Diploma or 3 years of additional experience
  • 3-5 years experience in HMO/MCO or health insurance environment
  • Requires detailed research, coordination, and organizational skills
  • Familiarity with Windows and Microsoft Office products

COMPLETE JOB DESCRIPTION

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