Dental Claims Auditor

Overview

We are a fast-paced, young and disruptive company working hard to make our doctor’s vision come to life.

Audit dental claims to ensure appropriate medical documentation and notes are present. The Dental Claims Auditor position is responsible for ensuring that the coded clinical and administrative data of our client offices are compliant with company policy, local, state, and federal laws, and assessing the overall coding quality in order to provide feedback to our clients.

Responsibilities

• Conduct clinical chart audits for MB2 Dental affiliated providers to determine compliance with Medicaid and other payers.
• Read and analyze EOB’s and make proper adjustments according to MB2 claims processing criteria.
• Send appeals to insurance carriers with justification as to why dental treatment should be paid.
• Audit accounts to ensure proper fees have been posted.
• Work with Compliance team to maximize office collections and minimize adjustments.
• Communicate issues and suggestions to improve processes.
• Ensure compliance with MB2 policies as well as State, Federal and other regulatory bodies.
• Participate in meetings as required.
• Other duties as assigned by management

Qualifications

• Prior RDA experience preferred
• Prior billing experience preferred
• Experience with dental terminology preferred
• Experience as an auditor preferred
• Must possess experience in the following areas:­
  • Local, State, and Federal compliance regulations
• Must possess strong communication and organization skills
• Must pay close attention to detail

Apply Here

PI180851794