Liberty Dental Plan
1001 - 5000 employees
Founded 2002
🏥 Healthcare
đź’Ľ Consulting
📦 Logistics
Healthcare • Consulting • Logistics
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.
Claims Referral Specialist II
🔥 0 minutes ago
🗽 New York – Remote
đź’µ $20 - $25 / hour
⏰ Full Time
🟢 Junior
🚫👨‍🎓 No degree required
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Liberty Dental Plan
1001 - 5000 employees
Founded 2002
🏥 Healthcare
đź’Ľ Consulting
📦 Logistics
Healthcare • Consulting • Logistics
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.
đź“‹ Description
• Process dental claims, pre-authorizations, referrals, and benefit determinations accurately and efficiently • Review and adjudicate claims according to plan guidelines, state regulations, and service level agreements • Process Coordination of Benefits (COB) and Orthodontic claims • Perform high-volume data entry while maintaining quality and productivity standards • Maintain current knowledge of claims-processing requirements, regulatory updates, and departmental procedures • Collaborate with internal teams to resolve claim-related issues and support operational goals • Maintain confidentiality and professionalism • Regularly collaborate with Claims Coordinators, Provider Relations, Provider Data Management, Eligibility, Clinical Services, Member Services, and General & Administrative teams • Perform additional duties as assigned
🎯 Requirements
• High School Diploma or GED • Minimum one (1) year of dental claims processing experience • Valid New York Adjuster License or ability to obtain one within the first 90 days of hire • Must reside in an Eastern Time Zone state • Experience processing Coordination of Benefits (COB) and Orthodontic claims • Strong analytical and problem-solving skills • Ability to meet production and quality goals in a high-volume environment • Proficiency with Microsoft Office, including Excel, Outlook, and Word • Typing speed of at least 40 words per minute • 10-key by touch proficiency • Strong communication and customer service skills • Ability to work independently while contributing to a collaborative team environment • Registered Dental Assistant (RDA) certification preferred • Front office and/or back office dental practice experience preferred • Must work within the United States; no relocation assistance or sponsorship available
🏖️ Benefits
• Competitive pay structure and savings options • 401(k) retirement benefits, including employer match • Roth IRA options • Immediate vesting during the Safe Harbor period • Access to professional financial advice through Financial Engines • Affordable medical insurance • 100% employer-paid dental coverage for employees and eligible dependents • Vision insurance • Company-paid basic life and AD&D insurance • Options to purchase additional supplemental coverage • Flexible Spending Accounts for healthcare and dependent care expenses • Voluntary accident, critical illness, and hospital indemnity insurance • Long-term disability coverage • Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts • Employee Assistance Program (EAP) • Generous vacation and sick leave policies, with 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 • Potential bonuses
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