Dental Claims Resolutions Specialist

Dental Claims Resolutions Specialist

Location: Irving, TX (Onsite)

Pay: $18.50 – $19.50 per hour (Based on Experience)

Schedule: Monday – Friday, 8-hour shift between 7:00 AM – 6:00 PM

Position Overview: The Dental Claims Resolutions Specialist supports revenue cycle operations within a dental services environment by coordinating with insurance carriers to resolve outstanding dental claims. This role focuses on timely follow-up, accurate documentation, and maintaining accounts receivable within established benchmarks to ensure consistent reimbursement.

Key Responsibilities:

• Perform accurate and timely follow-up on outstanding dental insurance claims
• Contact insurance carriers via phone, email, fax, or web portals to obtain claim approval and payment details
• Bill or rebill claims with necessary attachments through NEA, paper, web, fax, or email submission
• Process claim attachments through National Electronic Attachments (NEA)
• Review patient accounts to ensure accurate dental insurance billing and procedures performed
• Read and analyze Explanation of Benefits (EOBs) and internal claims reports
• Research and confirm outstanding insurance payments
• Document all follow-up actions and next steps toward claim resolution
• Act as liaison between dental offices and insurance carriers
• Collaborate with auditors, billers, payment posters, and insurance collections team members to support claim resolution
• Complete claim follow-up requests submitted through internal ticketing systems
• Utilize various online and offline methods to trace unpaid claims

Qualifications:

• High school diploma or GED required
• 1+ year of medical billing experience required OR 1+ year of dental billing experience preferred
• Working knowledge of insurance billing regulations and dental claims follow-up processes
• Ability to interpret Explanation of Benefits (EOB) statements and identify payment variances
• Strong typing, data entry, and computer proficiency with the ability to navigate multiple systems
• Good job stability (a minimum of 1 year at all previous roles)
• Must live within a 30 mile radius of Irving, TX

Core Tools & Systems:

• EPIC (Electronic Health Record / Practice Management Software)
• Insurance carrier portals and claims management systems
• National Electronic Attachments (NEA)
• Microsoft Office Suite (Excel, Outlook, Word)
• Revenue Cycle Management (RCM) systems
• Accounts Receivable (AR) reporting tools

Preferred Skills:

• Experience in a dental office environment
• Associate’s or Bachelor’s degree or technical certificate preferred
• Strong customer service and conflict-resolution abilities
• Detail-oriented with a process-focused mindset

Application Process Includes:

• In-person interview
• Background check (criminal record, education, and employment verification)
• Drug screen
• Clerical testing 

Legal Notice
CornerStone Staffing is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or veteran status.

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