Claims Referral Specialist I

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

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Liberty Dental Plan

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Liberty Dental Plan is a U. S. -based dental insurance provider offering Medicaid (including Medi-Cal), Medicare Advantage, commercial, individual & family, and group dental plans across multiple states. The company operates member-facing services (find-a-dentist, member portal, mobile app, claims and eligibility tools) and provider-facing services (provider portal, network enrollment, claims submission, clinical guidelines, and value-based programs). Liberty Dental Plan focuses on dental benefits administration, provider network management, compliance and credentialing, and serving members, providers, and brokers.

📋 Description

• 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.

🎯 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.

🏖️ Benefits

• Competitive pay structure and savings options to help you reach your financial goals. • 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.