What are the responsibilities and job description for the Medicare Medicaid Claims Analyst position at ARK Solutions, Inc.?
Job Description:
We are seeking a skilled Medicare Medicaid Claims Analyst to join our team at ARK Solutions, Inc.
As a Medicare Medicaid Claims Analyst, you will play a critical role in ensuring the accuracy and integrity of our claims data.
You will analyze large datasets to identify patterns and anomalies indicative of potential healthcare fraud, working closely with our audit team to investigate these issues and gather evidence.
Your findings will inform our compliance efforts, ensuring that we maintain the highest standards of integrity and adhere to all relevant laws and regulations.
Key Responsibilities
- Analyze large datasets to identify patterns and anomalies indicative of potential healthcare fraud
- Conduct research to locate potential witnesses and gather evidence
- Collaborate with auditors and senior auditors to develop and implement investigative strategies
- Prepare reports detailing your findings and recommendations for further action
- Work with attorneys and investigators to determine applicable laws and identify potential causes of action
Requirements
To be successful in this role, you must have a strong analytical mindset and excellent communication skills. You should also possess experience in document analysis, particularly in relation to fraud cases, and be proficient in performing online database research and telephone research.
A bachelor's degree is preferred, but not required. If you have a passion for uncovering the truth and a commitment to upholding the highest ethical standards, we encourage you to apply.
