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

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