Claims Resolution 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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