HealthCare Support · 20 hours ago
Healthcare Fraud Investigator
Rancho Cucamonga, CA
Full-time
Hybrid
Senior Level
$80K/yr - $95K/yr
6+ years expHealthCare Support is a respected health plan organization that provides Medicare and Medi-Cal healthcare services to over 1.5 million members in Rancho Cucamonga, California. They are seeking a Healthcare Fraud Investigator to oversee daily revenue cycle operations, ensure compliance in coding and billing accuracy, and manage a team of billing staff and vendors.
DatabaseHealth Care
Hiring Manager
Melanie Williams
Responsibilities
Assign oversight to daily revenue cycle operations including billing, AR, denials, and appeals
Review coding and billing accuracy to ensure compliance and proper reimbursement
Oversee a team of billing/RCM staff 4-5 and vendors
Qualification
Required
Bachelor's degree from an accredited institution required
6+ years relevant professional experience in fraud, waste, and abuse investigations, including Federal and State reporting requirements
Experience working directly with a health plan, with full knowledge of Medi-Cal and Medicare
Benefits
Very low healthcare premiums ($35 – $100 depending on the plan!)
3 ½ weeks of PTO (18 days) & 11 Paid Holidays
Fitness Reimbursement up to $125/a year and on-site fitness facility
Tuition reimbursement after 1 year of employment
457(b) Retirement Plan – matches 3% of base salary
CalPERS Retirement Plan (i.e., pension plan for all employees) – full vesting after 5 years
Company
HealthCare Support
HealthCare Support is a national niche recruitment firm that has a singular focus - placing top talent in the dynamic healthcare industry.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2021-11-29Acquired
2016-10-01Non Equity Assistance
Leadership Team
Clay Coleman
Chief Operating Officer
Company data provided by crunchbase