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Fraud Investigator Dental Remote Jobs in Decatur, GA

Efi global

Forensic Electrical Engineer, P.E.

Atlanta, GA · On-site +1

... fraud and arson cases and providing expert witness testimony, into a recognized global leader in ... Our forensic investigation, engineering and environmental services teams around the world share a ...

IQVIA

Senior Data Team Lead (Remote)

Atlanta, GA · Remote

$86K - $217K/yr

Medical, dental, and vision coverage beginning your first day of employment * 401(k) with company ... fraud. All information and credentials submitted in your application must be truthful and complete.

Booz Allen Hamilton, Inc.

Data Scientist

Atlanta, GA · On-site +1

$99K - $225K/yr

Remote Work: Hybrid Job Number: R0247378 Location: Atlanta,GA,US Share job via: Share Data ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...

IQVIA

Clinical Trial Rater

Atlanta, GA · Remote

Remote based in the US Hours: Approximately 5h per week Role: Clinical Specialist Start: immediate ... Work closely with study investigators, site staff, and sponsor/CRO teams to support highquality ...

OnPay

Tax Resolution Analyst

Atlanta, GA · Remote

$25 - $30/hr

Investigate, track, and resolve tax notices, penalty assessments, and tracer letters from federal ... Remote flexibility: Work from anywhere in the U.S., or join our collaborative HQ team in Atlanta ...

Moonshot

Threat Monitoring Manager

Atlanta, GA · On-site +1

... images, fraud and impersonation, and coordinated abuse. The Threat Monitoring Manager will be ... Remote candidates from across the US will be considered but residency in an area of geographical ...

Booz Allen Hamilton, Inc.

Technical Writer

Atlanta, GA · On-site +1

$55K - $126K/yr

Remote Work: Hybrid Job Number: R0248782 Location: Atlanta,GA,US Share job via: Share Technical ... Applicants selected will be subject to a government investigation and may need to meet eligibility ...

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Fraud Investigator Dental Remote information

See Decatur, GA salary details

$15

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$51

How much do fraud investigator dental remote jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for fraud investigator dental remote in Decatur, GA is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $21.59 and $34.52 per hour, depending on experience, location, and employer.

What does a remote dental fraud investigator do?

A remote dental fraud investigator is responsible for identifying, investigating, and preventing fraudulent activities related to dental insurance claims. They review claims, analyze patterns, and gather evidence to determine if fraud has occurred. Working from a remote location, they collaborate with dental providers, insurance companies, and law enforcement to resolve cases. Their work helps ensure the integrity of dental insurance programs and protects both insurers and patients from fraudulent practices.

How does a remote dental fraud investigator typically collaborate with dental providers and internal teams during investigations?

As a remote dental fraud investigator, collaboration is primarily conducted through secure digital communication tools, such as email, video conferencing, and case management platforms. Investigators frequently coordinate with dental providers to request documentation and clarify billing discrepancies, while also working closely with internal compliance, legal, and claims teams to analyze patterns and present findings. Building strong virtual relationships and maintaining clear, professional communication are essential, as many tasks—like conducting interviews or presenting evidence—occur remotely. This collaborative approach ensures thorough investigations while maintaining data security and regulatory compliance.

What are the key skills and qualifications needed to thrive as a fraud investigator dental remote, and why are they important?

To excel as a Fraud Investigator Dental Remote, you need a strong understanding of dental claims processing, investigative techniques, and industry regulations, often supported by experience in dental billing or insurance and a relevant degree. Familiarity with claims management systems, data analytics tools, and compliance software is typically required, along with certifications such as Certified Fraud Examiner (CFE) being advantageous. Attention to detail, analytical thinking, and effective communication skills help you identify fraudulent patterns and collaborate with various stakeholders. These competencies are crucial for accurately detecting fraud, protecting organizational resources, and ensuring regulatory compliance in a remote setting.

What is the difference between Fraud Investigator Dental Remote vs Fraud Analyst Dental?

AspectFraud Investigator Dental RemoteFraud Analyst Dental
CertificationsLikely requires certifications like CFE or CIAOften requires similar certifications, such as CFE
Work EnvironmentRemote, investigative, compliance-focusedRemote or office-based, analytical and investigative
Industry UsageUsed in dental insurance and healthcare fraud detectionCommon in insurance, healthcare, and financial sectors
Search/Comparison IntentHigh overlap, both investigate fraud in dental insurance

Both Fraud Investigator Dental Remote and Fraud Analyst Dental roles focus on detecting and preventing dental insurance fraud. While the titles differ slightly, they often require similar certifications and work in comparable remote environments within the healthcare and insurance industries. The main difference lies in job focus, with investigators typically conducting more in-depth investigations, whereas analysts focus on data analysis and pattern recognition.

What are popular job titles related to Fraud Investigator Dental Remote jobs in Decatur, GA?

For Fraud Investigator Dental Remote jobs in Decatur, GA, the most frequently searched job titles are:

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What cities near Decatur, GA are hiring for Fraud Investigator Dental Remote jobs?

Cities near Decatur, GA with the most Fraud Investigator Dental Remote job openings:

Fraud Investigator Dental Remote jobs near you

Remote Medical Insurance Follow Up Rep

TRC Talent Solutions

Atlanta, GA • Remote

Full-time

Medical, Dental, Vision, Life, PTO

Posted 11 days ago

Job description

Medical Insurance Follow Up Representative 100% Remote

$1822/hour | Full-Time | Permanent Opportunity

We're growing and looking for experienced Medical Insurance Follow-Up Representatives to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts.

Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you.

Why Join Us?

  • 100% Remote

  • Flexible Schedule

  • Health, Dental, Vision, and Life Insurance

  • PTO, Paid Sick Leave, and Paid Holidays

  • Career Growth Opportunities

What Youll Do:

  • Perform second-tier insurance account follow-up on outstanding A/R balances

  • Resolve denied, underpaid, and unresolved insurance claims

  • Resolve aged accounts and payer issues

  • Work high-dollar accounts and conduct detailed account research

  • Review UB-04 and/or HCFA 1500 claims for billing accuracy

  • Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances

  • Communicate professionally with insurance payers, clients, and internal teams

  • Identify payer trends, workflow issues, and barriers to resolution

  • Submit corrected claims, rebills, secondary billing, and appeals as needed

  • Document account activity and correspondence thoroughly and accurately

  • Escalate payer errors appropriately for reprocessing

  • Work with commercial and government payers

  • Maintain productivity and quality standards

Experience & Education:

  • 1-2 years of Healthcare Revenue Cycle experience required

  • Experience with Hospital Billing and/or Physician Billing required

  • Strong knowledge of denials, insurance follow-up, UB-04 and/or HCFA 1500 claims

  • Experience using systems like Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.

  • Proficiency in Microsoft Office and other internet-based systems

  • Strong ability to multitask across multiple applications and systems

  • High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred

Physical Requirements:

  • Ability to sit for extended periods of time

  • Frequent use of hands and fingers for typing and computer work

  • Ability to communicate via phone and computer

  • Occasionally lift up to 15 pounds