California Licensed SIU Specialist
A company is looking for a SIU Specialist - Remote in the California market.
Key Responsibilities
Maintain a caseload of fraud, waste, and abuse incidents, prioritizing and managing workload to meet performance metrics
Conduct preliminary investigations by analyzing data and gathering information from various sources
Document findings and recommendations clearly and concisely while providing backup support to team members as needed
Required Qualifications
Bachelor's degree preferred
2+ years of experience in fraud investigations and claims
Knowledge of healthcare coding conventions, fraud schemes, and relevant regulations
Proficiency in Microsoft Office applications
Must be eligible to work in the United States without visa sponsorship
A company is looking for a SIU Specialist - Remote in the California market.
Key Responsibilities
Maintain a caseload of fraud, waste, and abuse incidents, prioritizing and managing workload to meet performance metrics
Conduct preliminary investigations by analyzing data and gathering information from various sources
Document findings and recommendations clearly and concisely while providing backup support to team members as needed
Required Qualifications
Bachelor's degree preferred
2+ years of experience in fraud investigations and claims
Knowledge of healthcare coding conventions, fraud schemes, and relevant regulations
Proficiency in Microsoft Office applications
Must be eligible to work in the United States without visa sponsorship