Provider Billing Investigation Manager Salary in the United States

1. Where can a Provider Billing Investigation Manager earn the most?

A Provider Billing Investigation Manager's earning potential can vary widely depending on several factors, including location, industry, experience, education, and the specific employer. According to the latest salary data by Salary.com, a Provider Billing Investigation Manager earns the most in San Jose, CA, where the annual salary of a Provider Billing Investigation Manager is $156,854.

2. What is the highest pay for Provider Billing Investigation Manager?

The highest pay for Provider Billing Investigation Manager is $162,120.

3. What is the lowest pay for Provider Billing Investigation Manager?

The lowest pay for Provider Billing Investigation Manager is $103,250.

4. What are the responsibilities of Provider Billing Investigation Manager?

Manages the team responsible for investigating and auditing healthcare providers to detect and prevent medical billing fraud, waste, and abuse. Reviews medical billing and insurance claims to identify billing anomalies, outliers, and patterns of upcoding, phantom billing, or duplicate charges. Compiles evidence and documents findings in investigative reports. Refers cases of fraud to law enforcement or state regulatory agencies. May take the lead on more complex investigations. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.