Fraud Analyst

US Tech Solutions, Inc.

Columbia, SC

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JOB DETAILS
SALARY
$23.92–$23.92 Per Hour
JOB TYPE
Temporary, Contractor, Full-time
SKILLS
Analysis Skills, Business Writing, Centers for Medicare and Medicaid Services (CMS), Customer Support/Service, Durable Medical Equipment, Fraud Investigation, Health Insurance, Law Enforcement, Microsoft Office, Protocol Independent Multicast (PIM), Quality Control, Regulations, Resolve Customer Issues, Statement of Work (SOW), Team Player, Writing Skills
LOCATION
Columbia, SC
POSTED
4 days ago
Duration: 3+ months (Possible contract to hire)

Job Description:
  • Credit check required, piv clearance required contract - with potential for permanent position.
  • Monday-Friday, 8:30am-5pm onsite position only – must be local candidates
  • Professional/business style writing experience. Analytic research experience. Microsoft Office Skills.
  • Works with quality control team. Professional/business style writing experience. Analytic research experience. Microsoft Office Skills.
 
Responsibilities:
  • Responsible for performing compliance/fraud related investigations in support of the NSC State of Work (SOW) guidelines.
  • Performs duties in accordance with Center for Medicare and Medicaid Services(CMS) regulations and policies for quality and quantity of work as stated in the SOW and PIM.
  • Handles complaints of alleged violation of standards and makes referrals to the Durable Medical Equipment Regional Contractor (DMERC) and/or law enforcement agencies as appropriate.
  • Supports team projects and tasks.
  • Conducts site visits and/or support site visits.
 
Experience:
3 years customer service, medical insurance, or investigation related experience.
 
Skills:
  • Professional/business style writing experience.
  • Analytic research experience.
  • Microsoft Office Skills.
 
Education:
Bachelor's Degree
 
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
 
US Tech Solutions is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity,
national origin, disability, or status as a protected veteran.


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About the Company

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US Tech Solutions, Inc.