Corporate

Insurance Claims Auditor

Full Time

As an Insurance Claims Auditor at Pacific Dental Services you will have the opportunity to join a stable company that is experiencing a tremendous amount of growth, values your contribution, and provides you with a career rather than just a job. Responsibilities: Read and analyze EOB’s 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.