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Remote Medical Senior Referral Analyst

Job is Expired
Location: Nationwide
Compensation: Salary
Staff Reviewed: Wed, Nov 30, 2022
Job Category: Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced, Senior Level
Education Level: Bachelors

Job Summary

A health insurance company has a current position open for a Remote Medical Senior Referral Analyst.

Core Responsibilities of this position include:

  • Investigating potential member and group eligibility misrepresentation/fraud by reviewing relevant documentation
  • Completing data analytics to identify potential group/member misrepresentation/fraud
  • Utilizing PC application, Internet resources and internal proprietary databases

Required Skills:

  • Bachelor’s degree or 5+ years audit/investigation experience in insurance or healthcare
  • Able to use Microsoft applications and database programs
  • Preferred experience in a position investigating fraud

COMPLETE JOB DESCRIPTION

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