Dental Claims Resolutions SpecialistLocation: 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 PMPosition 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 claimsContact insurance carriers via phone, email, fax, or web portals to obtain claim approval and payment detailsBill or rebill claims with necessary attachments through NEA, paper, web, fax, or email submissionProcess claim attachments through National Electronic Attachments (NEA)Review patient accounts to ensure accurate dental insurance billing and procedures performedRead and analyze Explanation of Benefits (EOBs) and internal claims reportsResearch and confirm outstanding insurance paymentsDocument all follow-up actions and next steps toward claim resolutionAct as liaison between dental offices and insurance carriersCollaborate with auditors, billers, payment posters, and insurance collections team members to support claim resolutionComplete claim follow-up requests submitted through internal ticketing systemsUtilize various online and offline methods to trace unpaid claimsQualifications:High school diploma or GED required1+ year of medical billing experience required OR 1+ year of dental billing experience preferredWorking knowledge of insurance billing regulations and dental claims follow-up processesAbility to interpret Explanation of Benefits (EOB) statements and identify payment variancesStrong typing, data entry, and computer proficiency with the ability to navigate multiple systemsGood job stability (a minimum of 1 year at all previous roles)Must live within a 30 mile radius of Irving, TXCore Tools & Systems:EPIC (Electronic Health Record / Practice Management Software)Insurance carrier portals and claims management systemsNational Electronic Attachments (NEA)Microsoft Office Suite (Excel, Outlook, Word)Revenue Cycle Management (RCM) systemsAccounts Receivable (AR) reporting toolsPreferred Skills:Experience in a dental office environmentAssociate's or Bachelor's degree or technical certificate preferredStrong customer service and conflict-resolution abilitiesDetail-oriented with a process-focused mindsetApplication Process Includes:In-person interviewBackground check (criminal record, education, and employment verification)Drug screenClerical testingLegal NoticeCornerStone 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.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:
Job Title
Medical Billing Specialist