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Accounting & Finance

CORESTAFF Services Plano Full-Time
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  • Billing Representative

    Corestaff Services is currently seeking a Billing Representative for 1-2 month contract position in the North Plano area.

    The Billing Representative is responsible for processing dental claims for payment by the insurance companies. Primarily review, investigate and resolve claims that have been denied by insurance or did not properly make it to the insurance company. The Billing Representative must utilize tools to ensure claims are processed and the account is adjudicated.

    Essential Functions

  • Analyze issues on accounts and investigate primary/secondary claims.
  • Ability to navigate multiple system information during claim resolution.
  • Research to complete and respond to EOBs; review EOB to ascertain reason for denial. Communicate with insurance companies if unable to locate denial reason or if EOB is unclear.
  • Process pre-determination responses from insurance companies and furnish additional information for processing.
  • Review open practice communications and perform needed actions.
  • Assemble correspondence from vendor, sort and distribute. Inspect documents that could not be distributed and evaluate.
  • Prepare insurance address changes for insurance operations. Expedite provider issues to the credentialing department for follow up and resolution.
  • Identify trends in the denials process with insurance companies, or internal systems logic breaks, and propose potential resolutions.
  • Provide support to practices and doctors by answering insurance claim requests accurately and timely.
  • Thoroughly review denied claims, obtain additional supporting information and compose appeal letters. If appeals submitted and denied, ensure all adjustments to account have been made and are accurate.
  • Re-file and close claims; post adjustments; update insurance IDs; insurance priorities; insurance companies.
  • Update patient demographic information including invalid or missing data (i.e. dependent and student status, age limit, etc.) as needed.
  • Review audits and audit corrections on a weekly basis.
  • Reach out to the practices for additional information requests as needed.
  • Update tooth/surfaces requirements per charge as needed.
  • Process charge-error corrections and negative production as indicated by days outstanding.
  • Meet required productivity and quality expectations.
  • Print claim, x-rays, narratives, periodontal charts for mailing or faxing.
  • Continuous improvement requirements up to 4 hours a week.
  • Perform administrative and project work, as assigned.
  • Education/Experience

  • High School Diploma required. Associates degree or technical training preferred.
  • 2+ years revenue cycle experience required, dental (or healthcare) preferred.

Corestaff Services is an Equal Opportunity Employer - All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, disability, veteran status, or any other factor determined to be unlawful under applicable law. Corestaff Services is not associated with Core Staffing Services, Inc. which operates in the New York metro area.


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Explanation Of Benefits (Eob)


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Accounting & Finance
Estimated Salary: $73K
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Job ID: JO000059955


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