- অভিজ্ঞতা
- ২+ বছর
- বেতন
- —
- শূন্যপদ
- 1
- পোস্ট করা হয়েছে
- ১ ঘন্টা আগে
- কাজের ধরণ
- বাড়ি থেকে কাজ করুন
- জীবনবৃত্তান্ত
- আবেদন করা আবশ্যক
কাজের বিবরণ
About the Role
Equity Staffing Group is looking for a Temporary Fraud Operations Analyst to join a prominent healthcare organization remotely for around six months. The position focuses on supporting fraud prevention and verifying payment processes in a demanding, high-volume setting.
Key Responsibilities
- Investigate fraud-related cases concerning provider enrollment, account modifications, and payment activities.
- Examine transactional, enrollment, and payment data to detect suspicious behaviors and possible fraud indicators.
- Make outbound calls to providers and business partners to confirm information and collect evidence.
- Maintain detailed documentation of findings, keep precise case records, and escalate issues as needed.
- Manage an assigned case workload while adhering to service level goals and turnaround times.
- Compile case summaries, provide status reports, and observe trends for leadership and stakeholders.
Qualifications
- Minimum of two years' experience in fraud operations, payment operations, banking, audit, compliance, loss prevention, provider enrollment, or related investigative roles.
- Proven experience in making outbound verification calls and recording outcomes.
- Strong analytical, organizational, and problem-solving capabilities.
- Ability to work independently within a remote work setting.
- Proficient in Microsoft Office applications, particularly Excel.
- Experience with Salesforce or other case management platforms preferred.
- Additional experience in healthcare payment operations, provider onboarding, ACH, virtual card, or check payments is advantageous.