Productive place of employement
HP-ES - Fraud Investigator (Current Employee) – Miramar, FL – January 22, 2014
Typical day would include reviewing investigations. Preparing to interview physicians, beneficiaries, company owners, or employees. Documenting all interviews and compling them in the investigation, in case of further legal actions. Some investigations would require overpayments, as the investigator, you would prepare the spreadsheet once a medical review was completed. You would then prepare the letter to the provider requesting the money due back to the Medicare Trust Fund. Other investigations needed further developement, you would run data or request data, to be able to view how the investigation would proceed. Some investigations needed clarification from a physician on the billing and some were just plain fraud. I learned a tremendous amount from the company, how to interview better and how to look at data from a different point.
The most enjoyable part of the job is working to get back the money taken fraudulently. (feels good to be one of the good guys)
The hardest part of the job is not taking it heart when the investigations do not go as planned.
free coffee, vacation days given when hired