Claims Referral Specialist I

Liberty Dental Plan Careers; Oklahoma; Remote; USD 28,000 - 30,000; Part time

Benefits offered by this job

Remote or hybrid work options

401(k) retirement plan with employer a

Affordable medical insurance

Job summary

Liberty Dental Plan is seeking a detail-oriented Claims Referral Specialist I to support daily processing of dental claims, pre-authorizations, and referrals in a remote environment. You will review eligibility, enter data accurately, and ensure timely resolutions.

You will collaborate with providers and internal teams to maintain compliance, meet SLAs, and uphold high service standards while handling multiple priorities with precision.

Qualifications

• High school diploma or GED required.
• Minimum of one year of dental claims processing experience.
• Strong typing and 10-key skills with high accuracy.
• Excellent communication and customer service abilities.
• Proficiency in Microsoft Office applications.

Responsibilities

• Process dental claims, pre-authorizations, and referrals within established turnaround times and quality standards.
• Review eligibility, coverage determination, and benefit limits.
• Accurately enter and maintain data in processing systems.
• Interpret plan benefits and regulatory requirements for proper adjudication.
• Communicate with providers, members, and internal teams regarding status and resolutions.
• Meet production and quality goals and support process improvements.

Skills

Attention to detail

Communication

Customer service

Typing 40 wpm

10-key

Multitasking

Dental claims processing

Organizational skills

Education

High school diploma or GED

Tools

Microsoft Office

Excel

Outlook

Word

Job description

Join Liberty Dental Plan as a Claims Referral Specialist I and put your Claims Referral skills to work supporting accurate and efficient claims operations.About the RoleLiberty Dental Plan is seeking a detail-oriented Claims Referral Specialist I to support the daily processing of dental claims, pre-authorizations, and specialty referrals. In this role, you will be responsible for reviewing and processing claims and referral requests in accordance with plan benefits, service level agreements (SLAs), and regulatory requirements.Working closely with internal teams, providers, and other stakeholders, you will play an important role in ensuring accurate claim adjudication, timely referral processing, and exceptional service to our members and provider partners.Pay Range: $20-$22 per hourPosition Type: Hourly, Non-ExemptWhat You'll DoProcess dental claims, pre-authorizations, and referral requests within established turnaround times and quality standards.Review claims and referrals for benefit eligibility and coverage determination.Accurately enter and maintain data within claims processing systems.Interpret plan benefits, policies, and procedures to ensure proper claim adjudication.Maintain current knowledge of company guidelines, service level agreements, and regulatory requirements.Research and resolve claim discrepancies, incomplete documentation, and processing issues.Communicate professionally with providers, members, and internal departments regarding claim or referral status, requirements, and resolutions.Meet or exceed established production and quality goals.Promote teamwork and collaborate effectively with colleagues across departments.Support process improvements and operational efficiency initiatives.Maintain confidentiality and compliance with company policies and industry regulations.Perform other duties as assigned.Required QualificationsHigh school diploma or GED.Minimum of one (1) year of dental claims processing experience.Working knowledge of Microsoft Office, including Excel, Outlook, and Word.Strong organizational skills and attention to detail.Excellent communication and customer service skills.Ability to work independently and meet performance objectives.Ability to manage multiple priorities while maintaining accuracy and productivity.Minimum typing speed of 40 words per minute.10-key proficiency by touch.Ability to understand and follow written and verbal instructions.Preferred QualificationsRegistered Dental Assistant (RDA) certification.Front office or back office dental office experience.Experience processing dental referrals, pre-authorizations, or treatment estimates.Familiarity with dental terminology, CDT coding, and benefit plans.Experience working in a managed care or dental insurance environment.What Will Help You SucceedYou'll thrive in this role if you are someone who:Takes pride in producing accurate and timely work.Enjoys problem-solving and researching claim-related issues.Maintains strong attention to detail while working in a fast-paced environment.Adapts quickly to changing priorities and business needs.Works collaboratively and contributes positively to team goals.Demonstrates accountability, professionalism, and reliability.Work EnvironmentThis position is generally performed in a remote environment. The role is primarily sedentary and involves extended periods of sitting, typing, and close-range visual work.Ready to Make an Impact?If you're a detail-oriented professional who enjoys reviewing claims, ensuring accuracy, supporting providers and members, and contributing to operational excellence, we'd love to hear from you. Apply today and explore your next opportunity with Liberty Dental Plan.CompensationIn the spirit of pay transparency, the base salary range for this position is $20-$22 per hour, not including fringe benefits or potential bonuses. At Liberty, your final compensation will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider internal equity when making compensation decisions.Please note that the range listed represents the full salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.What Liberty OffersOur comprehensive benefits package includes:Competitive pay structure and savings options.401(k) retirement plan with employer match and Roth options.Affordable medical insurance.Employer-paid dental coverage for eligible employees and dependents.Vision insurance.Company-paid life and AD&D insurance.Flexible Spending Accounts (FSA).Voluntary accident, critical illness, and hospital indemnity coverage.Long-term disability coverage.Employee wellness programs and resources.Employee Assistance Program (EAP).Generous vacation and sick leave programs.Paid company holidays.Tuition reimbursement opportunities.Remote or hybrid work options for eligible positions.LocationOur employees are distributed across multiple office locations within the United States. Employees must be authorized to work in the United States and are not permitted to work outside of the country.Liberty Dental Plan is an Equal Opportunity Employer. No relocation assistance or sponsorship is available for this position.