Investigator Assistant

Elevance Health • Atlanta, VA

23h • Hybrid

About The Position

Location: Atlanta GA, Norfolk VA Hours: Monday - Friday Travel: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Position Overview: Responsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse. How You Will Make an Impact: Collects, researches, and validates bills and claims data against relevant guidelines Assists in preparation of statistical and financial analysis reports Requests medical records and additional documentation required for investigation Completes initial file set-up and tracks cases Processes and tracks all incoming reimbursement checks Assists in managing fraud hotline calls Provides administrative support for investigative management and staff

Requirements

• Requires a HS diploma or equivalent and minimum of 1 year experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Healthcare experience is strongly preferred
• Strong Excel Experience strongly preferred
• Knowledge of Healthcare, coding, billing procedures strongly preferred

Responsibilities

• Collects, researches, and validates bills and claims data against relevant guidelines
• Assists in preparation of statistical and financial analysis reports
• Requests medical records and additional documentation required for investigation
• Completes initial file set-up and tracks cases
• Processes and tracks all incoming reimbursement checks
• Assists in managing fraud hotline calls
• Provides administrative support for investigative management and staff

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees