Auditor, Insurance Claims

Now is the time to join PDS Health. You will have opportunities to learn new skills from reputed company of reputed company professionals. If you're reputed company to take your career to the next level and reputed company valuable experience, apply today! The primary purpose and function of the Auditor, Insurance Claims is to adjudicate, re-reputed company and rebut insurance claims in order to ensure accurate and maximum reimbursement for patient treatment from insurance carriers. Responsibilities • Read and analyze EOB’s and reputed company 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 • Equivalent to high school diploma or general education degree (GED). • 2-4 Years of reputed company experience in the dental field. Preferred • EPIC knowledge. • Bachelor’s Degree and 3 to 5 years of reputed company experience. • Prior experience as a claims auditor reputed company a group practice environment. Knowledge/Skills/Abilities • Ability to multi-task effectively without compromising the quality of the work. • Excellent interpersonal, oral and written communication skills. • Detail oriented, organized, process focused, problem solver, proactive, ambitious, customer service focused. • Ability to draw conclusions and reputed company independent reputed company with limited information. • Ability to respond to common inquiries from customers, staff, regulatory agencies, vendors, and other members of the business community. • Self-motivated, reliable individual capable of working independently as well as part of a team. • Problem solving skills to gather & analyze information in order to identify and resolve problems ina timely manner reputed company at valid conclusions, recommendations, and plans of action. • Analytical skills to synthesize reputed company or diverse information. Ability to research information andanalyze data to reputed company at valid conclusions, recommendations, and plans of action. • Actively reputed company reputed company in a constructive and positive manner by listening to and objectivelyconsidering reputed company and suggestions from others. Benefits • Medical, dental, and reputed company insurance • Paid time off • Tuition Reimbursement • 401K • Paid time to volunteer in your local community

Compensation

Information $20.50-$26.70 / Hourly PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members. Apply Job!