Telecommute Healthcare Insurance Investigator in Columbia
A healthcare provider has a current position open for a Telecommute Healthcare Insurance Investigator in Columbia.
Core Responsibilities of this position include:
Prioritizing, triaging and managing workload to meet internal performance metrics, regulatory and contractual requirementsAnalyzing data and selecting audit samples using various sampling methodologiesPlanning and conducting desk audits, field audits and/or site visitsQualifications for this position include:
Site visitsA Combination of Education and Work Experience May Be Considered.
(Required), Bachelors (Required)Knowledge of managed health care business model and processes, preferably in behavioral health, radiology or pharmacyMinimum of five years of experience in fraud investigations, claims processing, auditing or provider networksDemonstrated abilities in time management and establishing prioritiesAll other requirements necessary for this position.
Estimated Salary: $20 to $28 per hour based on qualifications.
Core Responsibilities of this position include:
Prioritizing, triaging and managing workload to meet internal performance metrics, regulatory and contractual requirementsAnalyzing data and selecting audit samples using various sampling methodologiesPlanning and conducting desk audits, field audits and/or site visitsQualifications for this position include:
Site visitsA Combination of Education and Work Experience May Be Considered.
(Required), Bachelors (Required)Knowledge of managed health care business model and processes, preferably in behavioral health, radiology or pharmacyMinimum of five years of experience in fraud investigations, claims processing, auditing or provider networksDemonstrated abilities in time management and establishing prioritiesAll other requirements necessary for this position.
Estimated Salary: $20 to $28 per hour based on qualifications.
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