Remote Investigator, Medical Billing & Compliance
$56.2k - $101kCentene Corporation
- Remote job
A national healthcare organization is seeking a candidate to audit medical records and identify inappropriate billing practices. Responsibilities include performing reviews, investigating billing patterns, and recommending next steps for providers. Qualified candidates will have an Associate's Degree, coding certification, and clinical experience. Competitive salary range is $56,200 - $101,000 per year, with a comprehensive benefits package and flexible work options. #J-18808-Ljbffr Centene Corporation
$97.53k - $141.42k
...Fraud, Waste, Abuse (FWA) Investigator Main Office - Santa... ...opportunities for remote work; however, familiarity... ...As a member of our Compliance team, the Sr. Fraud,... ...sampling methodologies for medical records request/... ...medical terminology and billing/coding systems is highly...Remote workFull timeContract workWork at officeLocal area- ...Seeking a detail-oriented Healthcare Compliance Investigator, the full-time remote position will conduct investigations into healthcare providers' compliance with legislation, review documentation, and generate comprehensive reports while collaborating with various stakeholders...Remote workFull timeWork experience placement
- ...Providing investigative support for special investigation unit (SIU) activities, the full-time Healthcare... ..., waste, and abuse (FWA), while working remotely to analyze information and ensure compliance with coding and billing guidelines. Key responsibilities Develop leads...Remote workFull time
$107.7k - $199.3k
...Internal Investigations Manager You could be the one who changes everything for our 28 million... ...best practices, regulatory compliance, and risk mitigation. Requires exceptional... ..., and a flexible approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hours- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are... ...files in the branch Must ensure compliance with industry and company policies... ...fraud investigation. Knowledge in medical terminology, medical billing, CMS 1500 forms helpful Florida...Remote workContract workWork at officeRelocation package
- ...considered. LOCATION: Remote- Must live in California... ...flexible spending accounts (medical, dependent care and commuter... ...looking for self-motivated investigator to be part of an exciting fast... ...representative payees to ensure compliance as well as uncover and...Remote workHourly payExtra incomeFull timeTemporary workWork experience placementLive inWork at officeFlexible hoursShift work
$150k - $240k
...landscapes with ease. We ensure proactive compliance with key environmental laws, including... ...Policy Act. As the Principal Investigator you will plan, oversee, and support cultural... ...located in any of our office locations or remote. Qualifications You are...Remote workFull timeWork at officeLocal areaFlexible hours$7,916 - $8,333 per month
...Title IX/DHR Investigator Job no: 556073 Work type: Management... ..., Administrative, At-Will, Compliance/Legal, Full Time, On-site (... ...telecommute as scheduled), Remote in-state eligible (long... ...pregnancy, genetic information, medical condition, marital status,...Remote workFull timeWork at officeLong distanceMonday to Friday- ...As a full-time remote Fraud Investigator II, the successful candidate will be responsible for identifying and resolving fraudulent activity across... ...investigations of fraud alerts and claims, ensuring compliance with regulatory standards Required qualifications Bachelor...Remote workFull time
- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud,... ...experience with Medicare and/or Medicaid programs, including medical claim billing Demonstrated experience with data analysis...Remote workFull time
- ...operational and analytical resource, the full-time Digital Fraud Investigator will work remotely to identify, investigate, and mitigate digital fraud... ...reports and maintain evidentiary materials in compliance with legal and regulatory requirements Collaborate with...Remote workFull time
$73.2k - $109.8k
...Senior Fraud Investigator Volkswagen Financial Services, a wholly-owned subsidiary of Volkswagen... ...with a Role Classification of Fully Remote. Salary range is dependent on factors... ...• Knowledge of legal system • Compliance Specialized Skills: Certified Fraud Examiner...Remote workWork from home- Itlearn360 is looking for a Labor Law Investigator based in Pennsylvania. This role involves monitoring labor laws, conducting investigations, and ensuring compliance within workplaces. Candidates must have a degree and technical investigative experience, with relocation...Remote jobFull timeWork from homeRelocationMonday to Friday
- ...support a growing team, the full-time Claims Investigator will review, analyze, and investigate P... ...settlements, working in a hybrid or remote capacity. Key responsibilities... ...ensure accurate reserving, and maintain compliance with audit guidelines Required qualifications...Remote workFull time
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal... ...: Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3. Relevant...Remote workFull timeWork experience placementWork at officeLocal area- ...A management consulting firm is seeking an EEO Investigator responsible for conducting investigations related... ...gathering evidence, preparing reports, and ensuring compliance with federal laws. This position offers a remote opportunity and is currently being negotiated,...Remote work
$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an incredible culture... ...of loss prevention, regulatory compliance, and member protection. Responsibilities... ...period. Benefits for this position include Medical, vision, dental, life, and disability...Remote workLocal areaFlexible hours- ...Protection is seeking an Associate Inspector to oversee investigations and ensure compliance with city laws. This role will involve supervising and training... ...driver’s license is required. The position may allow remote work up to 2 days a week. #J-18808-Ljbffr New York City...Remote job2 days per week
$49.7k - $88.8k
UnitedHealthcare is looking for an Investigator to conduct compliance investigations related to agents and brokers. This role allows for telecommuting flexibility and covers all lines of business. The ideal candidate should have at least 2 years of independent investigation...Remote job- ...is seeking a Ramp AntiMoney Laundering Investigator in San Francisco. This role involves reviewing... ...Activity Reports, and optimizing compliance systems. The ideal candidate should... ...flexible PTO, health coverage, and options for remote work. #J-18808-Ljbffr ColorwaveRemote workFlexible hours
- Centene Corporation seeks a Clinical Professional to lead compliance investigations in a diverse national organization. Your role will focus on conducting thorough investigations, analyzing compliance metrics, and collaborating with various departments to ensure adherence...Remote jobFlexible hours
$7,916 - $8,333 per month
A public state university in California is seeking a Title IX/DHR Investigator responsible for conducting thorough investigations on discrimination and harassment within the campus community. The ideal candidate will have a Bachelor's degree and experience in trauma-informed...Remote job$107.7k - $199.3k
...York seeks a highly skilled individual to lead and manage complex internal investigations. This role requires exceptional judgment and the ability to guide senior management while ensuring compliance with federal and state regulations. The ideal candidate will have 7+...Remote job- GoTo Meeting is seeking an Account Investigator, Refunds, for a remote position. This role involves extensive investigations into patient accounts... ...diploma or equivalent, along with experience in medical billing. The ideal candidate will possess strong problem-solving...Remote job
$50k - $71.36k
Disability Rights California is seeking a full-time Compliance Investigator to conduct investigations of Social Security Administration representative... ...role requires significant travel and the ability to work remotely from California. The ideal candidate should have a high...Remote jobFull time$280 - $890 per day
The International Telecommunication Union is seeking a consultant to investigate allegations of misconduct among its employees. The role is home-based and involves substantial planning and conducting of thorough investigations. Qualified candidates will have an advanced...Remote jobWork from home- ...organization in Sacramento is looking for an Administrator I to oversee investigations related to discrimination and harassment within the campus... ...skills. This role requires a mix of in-person attendance and remote work flexibility, impacting the entire campus community. If...Remote work
- ...Employee Relations Investigator Position: Employee Relations Investigator... ...Full-time, exempt employee, remote worker. Salary Range:... ...as accounting, construction, compliance, human resources, information... ...compensation package which includes medical/dental/vision coverage,...Remote workFull timeHome officeFlexible hours
- Centene Corporation is seeking a skilled Investigator to lead complex internal investigations and ensure compliance with laws and regulations. This role involves evaluating allegations, conducting interviews, and managing investigation strategies. The ideal candidate will...Remote jobFlexible hours
$61.66k - $87.1k
...public health consulting firm in Albany, NY is seeking experienced professionals to conduct investigations in Adult Care Facilities. This full-time role involves both on-site and remote work after an initial period. Candidates should have strong communication skills,...Remote workFull time
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