What are the responsibilities and job description for the Investigator Assistant (US) position at Elevance Health?
Investigator Assistant
Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Indianapolis, Indiana, Virginia Beach, Virginia, or Atlanta, Georgia Elevance Health PulsePoint locations.
The INVESTIGATOR ASSISTANT is 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
Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Indianapolis, Indiana, Virginia Beach, Virginia, or Atlanta, Georgia Elevance Health PulsePoint locations.
The INVESTIGATOR ASSISTANT is 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 guidelines.
- Assists in preparation of statistical and financial analysis reports.
- Requests medical records and additional documentation required for investigation.
- Completes initial file set-up and tracks cases.
- Processes and tracks all incoming reimbursement checks.
- Assists in managing fraud hotline calls.
- Provides administrative support for investigative management and staff.
- 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.
- Proficient utilizing excel and data entry.
- Attention to detail and meticulous time management skills strongly preferred.
- Strong communication skills preferred.
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