Special Investigation Unit Investigator

Company: VirtualVocations
Location: Fort Myers
Posted on: October 29, 2024

Job Description:

A company is looking for a Special Investigation Unit Investigator to investigate allegations of potential healthcare fraud and abuse activity.

Key Responsibilities

Conduct investigations of potential waste, abuse, and fraud
Perform data mining and analysis to detect aberrancies and outliers in claims
Prepare detailed reports on investigative findings for referral to Federal and State agencies

Required Qualifications

Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field, or equivalent experience
1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation
Knowledge of Microsoft Applications
Familiarity with medical coding and terminology preferred

Keywords: VirtualVocations, Fort Myers , Special Investigation Unit Investigator, Other , Fort Myers, Florida

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