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FWA Specialist in Clearwater, FL at Global Medical Response in Clearwater, Florida

Posted in Other 30+ days ago.





Job Description:


FWA Specialist in Clearwater, FL














Requisition ID
2021-16194
Category
Administration
Employment Type
Regular Full-Time

More Information about this Job

Our mission of providing care to the world at a moment's notice is at the heart of everything we do. We are caregivers, first and foremost and we will be there when you need us.

With more than 38,000 employees, Global Medical Response teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services around the world. We provide end-to-end medical transportation as well as fire services, integrated healthcare solutions and disaster response.

JOB SUMMARY

The responsibilities of the FWA Specialist, under the direction of the FWA Supervisor primarily assists with the development, implementation, maintenance of and adherence to the organizations policies and procedures covering auditing performed trips for Access2care, as well as addressing fraud waste and abuse matters as they arise.

ESSENTIAL FUNCTIONS/DUTIES

    Identify, implement and maintain audit policies and procedures with management
  • Conduct internal oversight, risk assessments, and monitoring of audit results

  • Conduct or assist in compliance investigations, including fraud, waste and abuse matters

  • Support the development of auditing training materials

  • Support the development and modification of tracking systems for investigations

  • Initiate, facilitate and promote activities to foster informational audit awareness to Access2care providers

  • Provide various support services within the billing and claims department

  • Ability to effectively communicate and present to all levels of management

  • Respond to daily inbound/outbound telephone calls to facilitate explanation of audit results

  • Maintain confidentiality at all times whether in reference to confidential information or as it relates to medical information for specific patients

  • Communicate effectively and professionally with external customers, including phone verification of visits with medical providers

  • Meet daily productivity quotas on a consistent basis

  • Adhere to all company policies and procedures

  • Perform other duties as assigned


QUALIFICATIONS


  • High School Diploma or GED

  • Previous experience in healthcare setting preferred

  • Minimum of one year customer service or call center experience required

  • Minimum of one year data entry experience required

Knowledge and Skills


  • Must be proficient with Microsoft Office software

  • Must type 30 wpm

  • Must operate 10-key calculator by touch

  • Must have effective oral, written and interpersonal communication skills

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer including Veterans and Disabled


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