Clinical Research - Junior

Adecco is currently assisting a local client in their search to fill Clinical Research – Junior in Eden Prairie, MN! Apply now if you meet the qualifications listed below!

Description:
Recovery Resolution Rep (Triage Investigator), Validation Team. Performs preliminary vetting and investigation on all FWAE tips entered via the Hub "Report Healthcare Fraud" submission and the Fraud Hotline. Make an appropriate recommendation for flagging and whether or not to pass downstream for next steps.

Hours:
No Time off during training attendance required (January 28 - February 1)
Onsite - Eden Prairie, MN

7:00am - 3:30pm CST

Specific Duties:
1. Perform assignment of tips containing allegations identifying potential Fraud, Waste, Abuse, or Error), to the appropriate internal team member.
2. Document in a professional manner the investigation activities that were performed on tips
3. Communicate with internal partners as needed
4. Submit CMS reporting as required
5. Adhere to turn around time standards
6. Meet and maintain minimum quality and productivity standards

Must have qualifications/experience:
1. Associates Degree or High School diploma / GED with 1+ years of insurance or fraud investigation experience
2. 1+ years of insurance Experience with one or more of the following: Claim Processing, Provider Demographic Information or Insurance Billing Practices

Shift Start/End Time:

7:00am - 3:30pm

Dress Code:
Business Casual (Jeans only on Fridays)
Dress Code: Casual IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above. For other opportunities available at Adecco go to www.adeccousa.com.


If you have any questions surrounding the application process, please feel free to reach out to Yulia Le Good, Yulia.legood@adeccona.com, tel. 631-844-2804

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k) and Insurance Benefit Plans.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_2_022862_408809