PDS Health · 6 hours ago
Auditor, Insurance Claims
United States
Full-time
Remote
Entry, Mid Level
$22/hr - $29.80/hr
2+ years expPDS Health is seeking an Auditor for Insurance Claims to join their team. The primary purpose of this role is to adjudicate, re-bill, and rebut insurance claims to ensure accurate and maximum reimbursement for patient treatment from insurance carriers.
DentalFitnessHealth CareWellness
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
Qualification
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
Benefits
Medical, dental, and vision insurance
Paid time off
Tuition Reimbursement
401K
Paid time to volunteer in your local community
Company
PDS Health
Founded in 1994, PDS Health is a leading healthcare support organization that partners with dental and medical providers across the U.S., providing comprehensive business services that enable clinicians to focus on high-quality patient care.
10001+ employees
H1B Sponsorship
PDS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (17)
2024 (5)
2023 (8)
2022 (5)
2021 (9)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance
Leadership Team
Stephen Thorne
Founder & CEO
Jeremy Jonckheere
Vice President, Strategic Payor Partnerships
Recent News
New Orleans CityBusiness
2025-09-03
Company data provided by crunchbase