Remote Dental Claims & Referrals Specialist I

Liberty Dental Plan Careers; Oklahoma; A distancia; USD 28.000 - 30.000; A tiempo parcial

Ventajas ofrecidas por este puesto de trabajo

Remote or hybrid work options

401(k) retirement plan with employer a

Affordable medical insurance

Descripción de la vacante

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.

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Attention to detail

Communication

Customer service

Typing 40 wpm

10-key

Multitasking

Dental claims processing

Organizational skills

Educación

High school diploma or GED

Herramientas

Microsoft Office

Excel

Outlook

Word

Descripción del empleo

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.