Fraud Investigation Officer jobs in Oregon

Fraud Investigation Officer investigates fraudulent/illegal activities perpetrated by customers or employees. Designs and implements programs to prevent such activities and to recover any incurred losses. Being a Fraud Investigation Officer works with local, state and federal authorities with matters relating to fraudulent/illegal activities. Require a bachelor's degree. Additionally, Fraud Investigation Officer typically reports to a manager. To be a Fraud Investigation Officer typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (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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Lead Geologist - Site Investigation & Remediation
  • WSP USA
  • SW 72ND AVE, OR OTHER
  • Our Business We are a global leader in environmental consulting - made stronger with the recent acquisition of Wood’s Environment & Infrastructure business and Golder - with world-class expertise in e...
  • Just Posted

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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...
  • 12 Days Ago

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Senior Fraud Investigator
  • Allied Universal
  • ACCELERATE YOUR CAREER WITH THE GLOBAL LEADER IN INVESTIGATIVE SOLUTIONS! If you are looking for growth in your career, ...
  • 4/20/2024 12:00:00 AM

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Sr Fraud Investigator
  • SMBC
  • Sacramento, CA
  • ABOUT THE ORGANIZATION SMBC MANUBANK was formed by a group of banking entrepreneurs in June 1962. Our scope is to serve ...
  • 4/19/2024 12:00:00 AM

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Fraud Investigator
  • Ascendion
  • About Ascendion Ascendion is a full-service digital engineering solutions company. We make and manage software platforms...
  • 4/18/2024 12:00:00 AM

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Fraud Investigator-1
  • Wintrust Financial
  • Rosemont, IL
  • Wintrust is a financial holding company with approximately $50 billion assets under management and traded on the NASDAQ:...
  • 4/17/2024 12:00:00 AM

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Fraud Investigator
  • Fidelity TalentSource LLC
  • Merrimack, NH
  • Fidelity TalentSource is your destination for discovering your next temporary role at Fidelity Investments. We are curre...
  • 4/17/2024 12:00:00 AM

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Fraud Investigator
  • TruView Background Screening and Investigations
  • Uniondale, NY
  • Job Description Job Description Fraud Investigator-Nassau, NY TruView Background Screening and Investigations, a New Yor...
  • 4/17/2024 12:00:00 AM

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Fraud Investigator
  • Ascendion
  • Sacramento, CA
  • Job Description Job Description About Ascendion Ascendion is a full-service digital engineering solutions company. We ma...
  • 4/17/2024 12:00:00 AM

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AVP Fraud Investigations Manager
  • Wintrust Financial
  • Rosemont, IL
  • Wintrust is a financial holding company with approximately $50 billion assets under management and traded on the NASDAQ:...
  • 4/17/2024 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 Officer jobs
$60,543 to $82,127

Fraud Investigation Officer in Provo, UT
"As the allegation was only reported to us on Wednesday, our enquiries are at an early stage but specialist officers, including our Economic Crime Unit, are investigating to establish whether any offences have occurred.
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Fraud Investigation Officer in Anaheim, CA
Many additional, Joint and Deputy Director level officers are from ministry ‘s parent cadre, Indian Corporate Law Service.
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Fraud Investigation Officer in Middlesex, NJ
It is under the jurisdiction of the Ministry of Corporate Affairs, Government of India & primarily supervised by officers from Indian Corporate Law Service, Indian Administrative Service, Indian Police Service, Indian Revenue Service and other Central Services.
January 30, 2020