Remote Fraud Investigator Associate — Healthcare Audits

Peraton; Herndon (VA); A distancia; USD 39.000 - 62.000; Jornada completa

Descripción de la vacante

Peraton is seeking an entry-level Fraud Investigator Associate for SafeGuard Services. You will support a team conducting investigations of medical providers, analyze data, and prepare case files for action including referrals to law enforcement and recovery of overpayments.

Under supervision, you will manage multiple cases, gather information through observation and interviews, and collaborate with internal teams and external agencies while maintaining strict confidentiality and health privacy

Formación

• 0 years' experience with BS/BA, 4 years' experience with a HS diploma/equivalent
• Investigative and analytical experience
• Strong communication and organization skills
• Strong PC knowledge and skills
• US citizenship required

Responsabilidades

• Under direct supervision, perform high level investigations of medical providers and develop cases for action
• Assist in data collection, record examination, and interviews to gather evidence
• Prepare correspondence, reports and referral summaries with accuracy and tact
• Support coordination with state/federal investigators and external agencies
• Maintain confidentiality and comply with health privacy laws
• Handle multiple caseloads and document investigative activities promptly

Conocimientos

Investigative experience

Analytical experience

Communication skills

Organizational skills

PC knowledge

US citizenship

Educación

BS/BA preferred

HS diploma/equivalent required

Descripción del empleo

Peraton is seeking an entry-level Fraud Investigator Associate for SafeGuard Services. You will support a team conducting investigations of medical providers, analyze data, and prepare case files for action including referrals to law enforcement and recovery of overpayments.

Under supervision, you will manage multiple cases, gather information through observation and interviews, and collaborate with internal teams and external agencies while maintaining strict confidentiality and health privacy