Field Site Inspector - Part Time at Allied Universal in Pasco, WA

Summary: Allied Universal is a global leader in insurance claim investigation and is seeking a Field Site Inspector to conduct site visit inspections for Medicare and Medicaid providers. The role involves independent investigations, documentation of findings, and collaboration with operational staff to ensure compliance with established guidelines.

Responsibilities:
- Conduct independent investigations of assigned cases in a specific geographic area
- Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones)
- Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections
- Efficient and timely workload management to meet assignment time completion
- Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required
- Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms
- Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance
- Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process

Required Qualifications:
- High school diploma or equivalent
- Proficient in utilizing laptop computers, mobile devices, and tablets
- Flexibility to work varied and irregular hours/days including weekends
- Successful completion of the Allied Universal Investigations' training/orientation course
- Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training
- Must possess a valid driver's license with at least one year of driving experience

Preferred Qualifications:
- Associate degree or higher, preferably in Criminal Justice
- Prior insurance investigations and/or healthcare facility on-site inspections/compliance
- Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred
- Effective public speaking and communication skills

Required Skills: Laptop computer proficiency, Mobile device proficiency, Tablet proficiency, Site inspection, Healthcare provider credential verification, Medicare and Medicaid provider knowledge, Allied Universal Investigations training, CMS-required site inspector training

Benefits: Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance, Seven paid holidays annually, Sick days available where required by law, Vacation time offered at an initial accrual rate of 3.08 hours biweekly, Unused vacation is only paid out where required by law