Fraud Investigation Supervisor jobs in Oregon

Fraud Investigation Supervisor supervises the development of policies and procedures for proactive fraud monitoring. Documents the current control process and recommends enhancements. Being a Fraud Investigation Supervisor collaborates investigation with appropriate business partners and local, state and federal authorities. Requires a bachelor's degree. Additionally, Fraud Investigation Supervisor typically reports to a manager or head of a unit/department. The Fraud Investigation Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Fraud Investigation Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Intake and Benefit Investigation Coordinator
  • Emerging Health
  • Eugene, OR FULL_TIME
  • As we grow our service area in the Pacific Northwest, we are seeking an Intake and Benefit Investigation Coordinator to join our team of experts.

    About Emerging Health

    Emerging Health is a pharmacy and infusion center committed to providing patients exceptional experiences and healthcare solutions. We offer private infusion suites at our office in SW Portland, Oregon. Our second office in Eugene will open early 2024 and is allowing us to expand our reach of care to more communities along the coast, in the Willamette Valley and in Southern Oregon. Our home infusion services provide patients the option of receiving care from the comfort of their home.

    Our pharmacy

    Our state-of-the-art specialty pharmacies provide infusion medications that are often used to treat complex or rare conditions. We remove barriers to care and provide patients with the education, clinical care, and supportive services they need to be successful on their treatment journey.

    What it’s like to work with our team

    At Emerging Health, we value industry expertise and forward-thinking mindsets. We believe all patients and caregivers should be treated with compassion. Our team of pharmacists, nurses and support staff strive to inspire hope and improve quality of life for our patients.
     

    Join us!

    Do you want a dynamic career opportunity where you can make a difference? Explore the potential of your pharmacy experience in an elevated role.
    We are recruiting an Intake and Benefit Investigation Coordinator to join our team of health care professionals. As a Intake and Benefit Investigation Coordinator, you will be responsible for onboarding and processing information about new patients.

    Job type: Full-time

    Benefits:
    • Competitive pay
    • Flexible PTO and paid company holidays
    • Medical, dental, vision, disability and life insurance 
    • 401(k) match
    Position responsibilities:
    1. Intake information from referral sources and patients in a professional, knowledgeable, and courteous manner.
    2. Route patient referrals to the appropriate department or individual(s) in the pharmacy.
    3. Establish and maintain accurate and complete patient records.
    4. Receive calls from new patients and referral sources and document all customer communications.
    5. Complete the verification of insurance coverage for new patients.
    6. Complete the re-verification of insurance coverage for current patients.
    7. Prepare and secure medical necessity and prior authorization documents.
    8. Communicate with the billing department to ensure proper billing codes are used to quote patient financial responsibility for all products and services delivered.
    9. Report any misconduct, suspicious or unethical activities to the Compliance Coordinator.
    10. Participate in surveys conducted by authorized inspection agencies
    11. Participate in the Performance Improvement program as requested by the Performance Improvement Coordinator.
    12. Participate in pharmacy committees when requested.
    13. Participate in in-service education programs provided by the pharmacy.
    14. Perform other duties as assigned by supervisor.
    Required skills:
    1. Ability to organize and plan the activities of team members, and to delegate appropriately.
    2. Organizational skills sufficient to maintain consistently accurate records.
    3. Ability to evaluate options and to make efficient decisions.
    4. Proficient in computer skills that include use of spreadsheets, internet, word processing, and e-mail.
    5. Identify process improvements, develop change plans, and present improvement ideas to leadership.
    6. Ability to anticipate needs; consistently exceed referral source and patient’s expectations; maintain a high level of confidentiality; project a professional business image; be flexible and adapt to change; handle stress and pressure; and multi-task.
    7. Excellent verbal, written and interpersonal communication skills.
    8. Preference for fast-paced, production-oriented environment.
    Our ideal candidate has:
    • Strong communication and interpersonal skills.
    • Ability to effectively collaborate in a team setting.
    • Proficiency in standard workplace software and/or information management applications.
    • Prior experience working in an infusion pharmacy or healthcare setting.
    • Ability to navigate computer applications.
    • Ability to work in a fast-paced environment.

    Emerging Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual identification or orientation, national origin, marital status, disability, veteran status or any other status protected by law.
  • 3 Days Ago

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Intake and Benefit Investigation Coordinator
  • Emerging Health
  • Portland, OR FULL_TIME
  • As we grow our service area in the Pacific Northwest, we are seeking an Intake and Benefit Investigation Coordinator to join our team of experts. About Emerging Health Emerging Health is a pharmacy an...
  • 8 Days Ago

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Intake and Benefit Investigation Coordinator
  • Emerging Health
  • Oregon, OR FULL_TIME
  • As we grow our service area in the Pacific Northwest, we are seeking an Intake and Benefit Investigation Coordinator to join our team of experts. About Emerging Health Emerging Health is a pharmacy an...
  • 27 Days Ago

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Investigator, Special Investigation Unit *Remote
  • Providence Health
  • Oregon, OR FULL_TIME
  • Description Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitme...
  • 17 Days Ago

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SECRETARY-MANAGEMENT ASSISTANT
  • Federal Bureau of Investigation
  • Portland, OR FULL_TIME
  • Position: Secretary - Management Assistant, GS 9 Division: Portland Field Office Location: Portland, OR Working Hours: 8:15 am - 5:00 pm Monday - Friday (hours may vary) Salary: GS 9: $64,504.00 - $83...
  • 11 Days Ago

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Special Agent: Military/Law Enforcement Background
  • Federal Bureau of Investigation
  • Portland, OR FULL_TIME
  • HOW TO APPLYSTEP 1: Click on the “Apply” button to be directed to the FBIJobs Careers website.STEP 2: Click the “Start” button to begin. You will be prompted to either Sign In to continue or to regist...
  • 14 Days Ago

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Community Supervision Officer I
  • Georgia Department of Community Supervision
  • Thomson, GA
  • Are you looking for an opportunity to make a difference in your community? Do you want to make a lasting impact on a per...
  • 4/19/2024 12:00:00 AM

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Leasing Manager/Assistant Community Manager, Avondale Overlook
  • Kettler Enterprises, Inc
  • Hyattsville, MD
  • Overview: KETTLER currently has an opening for a Leasing Manager/Assistant Community Manager at Avondale Overlook, an ap...
  • 4/19/2024 12:00:00 AM

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Juvenile Supervision Officer
  • Collin County
  • McKinney, TX
  • This position works a unique schedule of 12-hour shifts that provides 3 to 4 days off in a row every week. Starting at $...
  • 4/18/2024 12:00:00 AM

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Cook - Overlook Grill Pool Cafe - The Cosmopolitan
  • MGM Resorts
  • Las Vegas, NV
  • The SHOW comes alive at MGM Resorts International Have you ever wondered what it would be like to work in a place full o...
  • 4/18/2024 12:00:00 AM

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Juvenile Supervision Officer
  • Midland County, TX
  • Midland, TX
  • Salary : $44,294.76 Annually Location : Midland, TX Job Type: Full-Time Job Number: 2019-00273 Department: Juvenile Dete...
  • 4/17/2024 12:00:00 AM

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Seasonal Overlook Nomad Server at The Wilds
  • Columbus Zoo Family of Parks
  • Cumberland, OH
  • Overview: Join The Wilds team as a server and impact the guest experience by accommodating our private meals provided fo...
  • 4/17/2024 12:00:00 AM

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Relationship Banker - Cascades Overlook
  • WELLS FARGO BANK
  • Sterling, VA
  • Why Wells Fargo: Are you ready for the next step in your career? This is where it begins - at a company known for our "W...
  • 4/17/2024 12:00:00 AM

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Food Service Coordinator-FT supervisory role
  • Fresh Thyme
  • Food Service Coordinator-FT supervisory role page is loaded **Food Service Coordinator-FT supervisory role** **Food Serv...
  • 4/15/2024 12:00:00 AM

Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean. Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Fraud Investigation Supervisor jobs
$103,739 to $120,985

Fraud Investigation Supervisor in Fayetteville, AR
A question was asked about what percentage of those receiving benefits are committing fraud.
February 03, 2020
Fraud Investigation Supervisor in Stockton, CA
Richard Leff and Whitney Hoffman – were recently interviewed by officials investigating the unfolding allegation of fraud in the township, which led to the dismissal of its former manager.
February 04, 2020
Fraud Investigation Supervisor in Greenville, MS
It also requires petitioners to turn over signed petitions to a supervisor within 30 days of the signature and tasked supervisors with keeping track of gatherers and the forms they were using to obtain signatures.
December 06, 2019