Doctoral prepared Certified Nurse Practitioner very interested in the SIU Insurance Fraud Analyst position. During the last ten years working as a successful nurse practitioner in the field of Emergency & Urgent care medicine, treating a variety of patients from trauma, pediatrics to geriatrics. Currently experienced in Medicare/Medicaid fraud, potential healthcare waste & abuse. Performed years of medical research & most recently involved with Medicare fraud up-coding Qui Tam case involving a physician group. Current career focus is on providing quality medical consulting & investigating to eradicate health care fraud to provide a better future for all of us. Current responsibilities include gathering & reviewing information, investigating claims for medical necessity, analyzing, and reviewing other various information assessing for potential patterns of abuse, wasting of dollars & illegal billing practices. Recognized for providing a detailed oriented, dependable, and organized reports. Strongly committed in helping to eradicate medical fraud & abuse. Commended for impeccable attention to detail, working under strenuous deadlines & demonstrating proven initiative to be a self motivator with successful drive own business.
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