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Auditor, Insurance Claims
Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!
The primary purpose and function of the Auditor, Insurance Claims is to adjudicate, re-bill and rebut insurance claims in order to ensure accurate and maximum reimbursement for patient treatment from insurance carriers.
Responsibilities
- Read and analyze EOBs and make proper adjustments according to PDS claims processing criteria
- Sends appeals to insurance carriers with justification as to why dental treatment should be paid.
- Audit accounts to ensure proper fees have been posted.
- Works with CBO team to maximize office collections and minimize adjustments.
- Communicate issues and suggestions to improve processes.
- Ensure compliance with Company policies as well as State, Federal and other regulatory bodies.
- Participate in meetings as required.
- Maintain an appropriate professional appearance and demeanor in accordance with Company policy.
- Other duties as assigned by management.
Required
Preferred
Knowledge / Skills / Abilities
Benefits
Compensation Information $22.00-$29.80 / Hourly
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.