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Jr and Sr Healthcare Investigator

Salary undisclosed

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Must Live in Ohio

Role Description

This is a full-time remote role for a Jr and Sr Healthcare Investigator. The Investigators will be responsible for performing data analysis, conducting audits, reviewing claims, collaborating with clients, and generating audit reports. They will also be involved in overpayment recovery, legal support, and ensuring compliance with healthcare policies and regulations.

Qualifications

  • Data Analysis, Auditing, and Report Generation skills
  • Knowledge of healthcare policies, regulations, and compliance requirements
  • Experience in fraud detection and prevention
  • Strong attention to detail and problem-solving abilities
  • Excellent communication and interpersonal skills
  • Ability to work independently and in a team
  • Certifications in healthcare auditing or related fields are a plus
  • Bachelor's degree in Healthcare Administration, Finance, Accounting, or a related field