Auditor, Insurance Claims
US-TX-Irving
External Careers apply (Attract Portal)
Req #: 92181
Type: Full-time
|
|
|||||||||||
|
||||||||||||
Overview: 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 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. Required * Equivalent to high school diploma or general education degree (GED). * 2-4 Years of related experience in the dental field. Preferred * EPIC knowledge. * Bachelor's Degree and 3 to 5 years of related experience. * Prior experience as a claims auditor within 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 make independent decisions 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 arrive at valid conclusions, recommendations, and plans of action. * Analytical skills to synthesize complex or diverse information. Ability to research information andanalyze data to arrive at valid conclusions, recommendations, and plans of action. * Actively share ideas in a constructive and positive manner by listening to and objectivelyconsidering ideas and suggestions from others. Benefits * Medical, dental, and vision insurance * Paid time off * Tuition Reimbursement * 401K * Paid time to volunteer in your local community
Share this job:
