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Analyst, MIP Fraud
Spectraforce
Columbia, South Carolina

3 hours ago

Job Description

Responsible for performing compliance/fraud related investigations in support of the NSC State of Work (SOW) guidelines.50% 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.20% 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.20% Supports team projects and tasks.10% Conducts site visits and/or support site visits., Education: Required Education: Bachelor's DegreeRequired Work Experience: 3 years customer service, medical insurance, or investigation related experience. 
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 18.00/hr.

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