Investigator Assistant – Carelon Payment Integrity SIU
| Company | Elevance Health |
|---|---|
| Location | Wallingford, CT, USA, Richmond, VA, USA, St. Louis, MO, USA, Atlanta, GA, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior |
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.
Responsibilities
- 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.
Preferred Qualifications
- Bachelor’s Degree preferred.
- Proficient with Excel highly preferred.