Claims Referral Specialist I
About The Position
Join Liberty Dental Plan and Make a Difference At Liberty Dental Plan, we are committed to improving oral health and delivering exceptional service to our members, providers, and communities. We are seeking a detail-oriented and motivated Claims Referral Specialist I to join our team and help ensure the timely and accurate processing of dental claims, pre-authorizations, and referrals. This is an excellent opportunity for someone with dental claims experience who enjoys working in a fast-paced environment, values accuracy, and takes pride in providing high-quality customer service. About the Role The Claims Referral Specialist I is responsible for the daily processing of dental claims and/or pre-authorizations and specialty referrals within established timelines. This role requires a strong attention to detail, the ability to meet productivity and quality standards, and a commitment to supporting a collaborative team environment.
Requirements
- High school diploma or GED.
- Minimum of one year of dental claims processing or related experience.
- Proficiency in Microsoft Office, including Excel, Outlook, and Word.
- Ability to work independently and successfully meet performance objectives.
- Typing speed of at least 40 words per minute.
- Strong 10-key data entry skills.
- Excellent communication and customer service skills.
- Strong attention to detail and organizational abilities.
Nice To Haves
- Registered Dental Assistant (RDA) certification.
- Front office and/or back office experience in a dental practice.
Responsibilities
- Process dental claims, pre-authorizations, and referrals accurately and within required turnaround times.
- Perform high-volume data entry while maintaining accuracy and efficiency.
- Review and determine benefits according to plan guidelines and processing requirements.
- Maintain knowledge of service level agreements (SLAs) and applicable state regulations.
- Meet or exceed established production and quality goals.
- Support a positive, collaborative team culture.
- Follow established procedures, policies, and safety protocols.
- Perform additional duties and special projects as assigned.
Benefits
- Competitive pay structure and savings options
- Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
- Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
- 100% employer-paid dental coverage for employees and eligible dependents.
- Vision insurance with low-cost premiums for employee-only coverage and dependents.
- Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
- Flexible Spending Accounts for healthcare and dependent care expenses.
- Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
- Long-term disability coverage.
- Expansive wellness programs, including company-wide wellness challenges, and gym discounts.
- Employee Assistance Program (EAP) to support mental health and well-being.
- Generous vacation and sick leave policies, with the ability to roll over unused time.
- 10 paid company holidays.
- Tuition reimbursement for eligible educational expenses.
- Remote or hybrid work options available for various positions.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
