Dental Office

Orthodontic Auditor

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

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