What are the responsibilities and job description for the Claims Resolution Specialist position at CornerStone Staffing?
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
Legal Notice
CornerStone 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.
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