Customer Service Auditor
3 weeks ago
RICEFW Technologies is seeking a highly skilled Customer Service Auditor to join our team. As a key member of our Administrative Services group, you will serve as a fraud investigator within the Department of Child Services.
Key Responsibilities:
- Formulate, interpret, and disseminate policies and procedures related to personnel review and investigation.
- Establish effective communication of investigation status to all necessary DCS program areas.
- Provide professional, timely, and effective customer service to internal and external customers.
- Review, compare, and compile findings from provider-reported documentation.
- Conduct contract compliance audits to ensure providers meet established quality levels of service and billing.
- Maintain full knowledge of all ten contracts, service standards, and DCS policy.
- Assure contract compliance with subcontractors of DCS providers.
- Develop and maintain provider data within an access database.
- Develop and maintain Excel spreadsheets and reports for comparison of provider data.
- Conduct yearly statewide contract compliance reviews to ensure compliance with Service Standards.
- Gather and analyze data, prepare data summaries, and report findings.
- Adhere to a multiple-point audit process and evaluate documentation and employee data.
- Understand and adhere to the timeframe of each phase of the audit process.
- Review audit results with management to determine actions needed.
- Write or draft correspondence, reports, documents, and other written materials.
- Monitor completed audits for completion of audit findings.
- Develop reports and collaborate with supervisor to establish parameters of prosecutable fraud.
- Report recommendations to supervisor for follow-up with the Inspector General's office and Attorney General's office.
Requirements:
- Extensive knowledge of all source materials and references, including federal and state laws governing programs.
- Understanding of principles, theories, and practices of program audits.
- Ability to develop and implement new principles and policies and discern any far-reaching implications.
- Ability to comprehend, analyze, interpret, and correlate technical material.
- Ability to use logic to analyze or identify underlying principles, reasons, or facts associated with information or data.
- Ability to find, gather, and collect information or data and evaluate information against a set of standards.
- Ability to communicate information and ideas clearly and concisely, orally and in writing.
Work Schedule: Monday to Friday, 8:00 AM to 4:30 PM, with a 1-hour lunch break.
Work Location: On-site and remote, with occasional travel.
Relationships: Maintain effective working relationships with co-workers, others in the division, agency, vendors, service providers, and others in the public.
Equipment: On-site pickup for provided equipment.
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