Investigator Assistant – Payment Integrity SIULocation: This role requires associates to be in-office 1 - 2 days per week, ideally in Atlanta, GA or Norfolk,VA fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.The Investigator Assistant will be responsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse.How you will make an impact:Collects, researches, and validates bills and claims data against relevant guidelinesAssists in preparation of statistical and financial analysis reportsRequests medical records and additional documentation required for investigationCompletes initial file set-up and tracks casesProcesses and tracks all incoming reimbursement checksAssists in managing fraud hotline callsProvides administrative support for investigative management and staffMinimum Requirements:Requires a HS diploma or equivalent and minimum of 1 year experience; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Capabilities, and Experiences:Healthcare experinece highly desired.Claims datamining experince desired.Job Level:Non-Management Non-ExemptWorkshift:1st Shift (United States of America)Job Family:FRD > Investigation
By applying, you consent to your information being transmitted by Jooble to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See Sonicjobs Privacy Policy at and Terms & Conditions at and SonicJobs Privacy Policy at and Terms of Use at
Job Type Full-time Description Roofers repair, maintain and construct roofing for residential buildings. This usually requires knowledge of different materials, including slate, concrete and different kinds of tiling. They can choose the right materials for...
...Steelial Construction & Metal Fabrication is looking for a full time Tig welder needed with 2 years experience. Requirements: Must be able to interpret diagrams and assembly of prints. Use various small hand tools and power tools. Works well with others and...
...today!Salary : Grade 12, Commensurate with experience starting at $41,117.00Shift : Monday... ...role focuses on the creation of visuals design deliverables for print, web, and social... ...illustration, photography, email templates, web graphics, graphical user interfaces (UI) and...
Epic Travel Staffing is hiring a Travel - CT/X-Ray Tech Shift :Mid / 3p-11p, 8x5, 40 hrs per week,call included, EOW Length : 13 weeks Requirements: ~2 Years Experience ~ BLS ~ Fluoroscopy ~ Certified CT Technologist - ARRT (CT) Verification...
...Benefits: Competitive salary Free uniforms Opportunity for advancement Paid time off Company parties PART TIME CLEANING POSITION AVAILABLE MONDAY THROUGH FRIDAY 5::30pmTO 9:30pm. IN THE TANEYTOWN AREA.. CLEANING BATHROOOMS, MUST BE ABLE TO PASS A BACKGROUND...