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 ty ping, 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 FOR IMMEDIATE CONSIDERATION: Please send your resume to cedrici@cornerstonestaffing.com with the job title included in the subject line of your email.