Dental Claims Resolutions Specialist

Dental Claims Resolutions Specialist

Location: Irving, TX | Onsite

COMPENSATION & SCHEDULE

• $18.50 – $19.50 per hour (based on experience)

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

• W2 employment

• Start Date: ASAP

ROLE IMPACT

This role exists to drive backend dental insurance reimbursement by resolving aged and complex outstanding claims. Success is measured by reduced accounts receivable (AR) days, timely carrier follow-up, and accurate documentation that leads to payment resolution. This is not a front-desk or patient-facing position — it is a production-based revenue cycle role focused on insurance follow-up and claim correction.

KEY RESPONSIBILITIES

• Perform high-volume follow-up on outstanding dental insurance claims to secure reimbursement

• Contact insurance carriers via phone, portal, email, or fax to resolve denials, partial payments, and aged AR

• Submit corrected or rebilled claims with required documentation through NEA (National Electronic Attachments), clearinghouses, paper, or payer portals

• Review Explanation of Benefits (EOBs) to identify underpayments, denials, coordination of benefits (COB) issues, and payment discrepancies

• Document detailed account notes, actions taken, and next steps in practice management and revenue cycle systems

• Partner with payment posters, auditors, and insurance collections teams to resolve complex claim issues

• Utilize reporting tools to track unresolved claims and meet AR performance benchmarks

MINIMUM QUALIFICATIONS

• 2+ years of backend medical or dental insurance billing experience focused specifically on claims follow-up, denials management, or insurance AR resolution

• Demonstrated ability to read and interpret EOBs and resolve unpaid or underpaid claims independently

• Minimum 1 year of consistent employment in each recent role (job stability required)

EQUIPMENT & WORK ENVIRONMENT

• EPIC (Electronic Health Record / Practice Management Software) or similar EHR/PM systems

• Insurance carrier portals and claims management platforms

• National Electronic Attachments (NEA)

• Revenue Cycle Management (RCM) and Accounts Receivable (AR) reporting tools

• Onsite office environment in Irving, TX (must reside within 30 miles)

PREFERRED SKILLS

• Dental billing experience strongly preferred over front-office scheduling or patient intake experience

• Associate’s or Bachelor’s degree or technical certificate in healthcare administration or related field

• Strong production mindset with ability to manage claim volume and meet daily follow-up targets

LEGAL NOTICE

This position requires an in-person interview. Employment is contingent upon successful completion of a background check (criminal record, education, employment verification), drug screen, and clerical testing.

• By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: https://www.cornerstonestaffing.com/privacy

Legal Notice

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: https://www.cornerstonestaffing.com/privacy

#IRVING123