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Dental FWA Investigator
A company is looking for a FWA Investigator for Dental Services. Key Responsibilities Investigate dental cases of fraud, waste, and abuse involving network providers Maintain accurate case information and documentation in the FWA tracking system Present investigative findings to stakeholders and ensure compliance with regulations Required Qualifications Bachelor's Degree/Dental Hygienist or 5+ years of experience in healthcare fraud investigations Knowledge of fraud, waste, and abuse regulations Intermediate proficiency in Microsoft Excel and Word 1+ years of experience in the healthcare insurance industry 1+ years of experience in dental benefits and procedures/CDT coding
A company is looking for a FWA Investigator for Dental Services.
Key Responsibilities
Investigate dental cases of fraud, waste, and abuse involving network providers
Maintain accurate case information and documentation in the FWA tracking system
Present investigative findings to stakeholders and ensure compliance with regulations
Required Qualifications
Bachelor's Degree/Dental Hygienist or 5+ years of experience in healthcare fraud investigations
Knowledge of fraud, waste, and abuse regulations
Intermediate proficiency in Microsoft Excel and Word
1+ years of experience in the healthcare insurance industry
1+ years of experience in dental benefits and procedures/CDT coding