Senior Fraud Investigator

1 day ago Be among the first 25 applicants

This range is provided by TruBlu HR Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$56.00 / hr - $64.00 / hr

Direct message the job poster from TruBlu HR Solutions

Lead Medical Recruiter at TruBlu HR Solutions

Skills / Qualifications

• HS diploma or GED or Bachelor's degree
• 8 years of experience in fraud, waste & abuse (FWA) investigations or special investigations unit (SIU) including 1 yr experience working with Medicaid
• Must hold one of the following certifications
• CPA (Certified Public Accountant)
• AHFI (Accredited Health Care Fraud Investigator)
• Strong analytical and research skills.
• Proficient in researching information and identifying information resources.
• Exercises independent judgement and uses available resources and technology in developing evidence and supporting allegations of fraud, waste, and abuse.
• Knowledge of medical terminology and / or experience with CPT codes, and ICD-9, ICD-10 coding.
• Knowledge of suspected FWA trends and matters of interest to law enforcement and regulators.
• Strong communication and customer service skills.

Job Duties

Seniority level

Employment type

Job function

Industries

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Inferred from the description for this job

Medical insurance

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