Claims Referral Specialist I

Claims Referral Specialist I

Fully Remote Remote - Corp - Tustin, CA 92782

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.

What You'll Do

• 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.

What You'll Bring

Required Qualifications

• 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.

Preferred Qualifications

• Registered Dental Assistant (RDA) certification.
• Front office and/or back office experience in a dental practice.

Success in This Role

Successful candidates will demonstrate:

• Strong analytical and problem-solving skills.
• Excellent accuracy and attention to detail.
• Professionalism, reliability, and dependability.
• Ability to follow verbal and written instructions.
• A team-oriented mindset with a commitment to collaboration.
• A focus on delivering quality service and positive outcomes.

Work Environment

This position is performed primarily in an office environment and requires extended periods of sitting, typing, and computer work.

Why Join Liberty Dental Plan?

At Liberty Dental Plan, your work has a direct impact on helping members receive the dental benefits and care they need. We value teamwork, accountability, integrity, and service excellence. When you join our organization, you become part of a mission-driven team dedicated to improving access to quality dental care and creating positive experiences for the people we serve.

If you're ready to apply your dental claims expertise in a rewarding and collaborative environment, we encourage you to apply today and become part of the Liberty Dental Plan team.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

Our first-class benefits package supports employees and their dependents with:

• 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.

Compensation

In the spirit of pay transparency, the base salary range for this position is $18.00 - $22.00 an hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.