Michael Snow
Fraud and Waste Investigator at Humana
- Role
- Fraud and Waste Investigator at Humana
- Location
- Louisville, KY, US
- LinkedIn followers
- 500 followers
About Michael Snow
Experienced healthcare professional specializing in payor solutions, reimbursement…
Experience
Fraud and Waste Investigator
Dec 2023 — Present · Louisville, KY, US
Investigates allegations of fraudulent and abusive practices on behalf of Medicare/Medicaid, with a focus on durable medical equipment suppliers, influencing reimbursement processes and ensuring compliance with billing standards- Leads 100+ investigations, ensuring successful adjudication through coordination with internal business partners, compliance teams, and law enforcement- Provides insight on provider reimbursement, leveraging telephonic, digital, and written communications to address issues with payor and provider relations- Audits medical records to verify appropriate billing practices and minimize financial waste- Utilizes Microsoft Office Suite for case management and report generation, presenting developed action plans and recommendations to leadership and legal teams.
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