Field Site Inspector

About This Role

Conduct independent site visit inspections for Medicare and Medicaid providers/suppliers, documenting findings and ensuring compliance with established guidelines. This role involves working independently in a specific geographic area, performing interviews, data collection, and photography.

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
• Efficiently and timely manage workload to meet assignment completion times
• 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
• Maintain professional attire, demeanor, and interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process

Requirements

• Valid driver's license with at least one year of driving experience
• 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

Qualifications

• High school diploma or equivalent
• At least one year of driving experience

Nice to Have

• Associate degree or higher, preferably in Criminal Justice
• Prior insurance investigations and/or healthcare facility on-site inspections/compliance
• Knowledge of Regulations (NCQA, TJC, Medicare Provider Enrollment, or other healthcare profession/facility credentialing)
• Effective public speaking and communication skills

Skills

* Required skills

Benefits