Claims Referral Specialist I-Iii

Tooth be told, you will love working with us!

We are seeking a UM / Claims Referral Specialist to join our growing team!

The ideal candidate lives near one of our East Coast Office Locations:

Sunrise, FL - Tampa, FL - Uniondale, NY!

The Utilization Management (UM) / Claims Referral Specialist is responsible for daily processing of dental claims and/or pre-authorizations/referrals within plan timelines. Must be able to meet or exceed production goals and quality scores. Employee must maintain a professional demeanor and have good attendance. Job function may differ depending on area of assignment (e.g. claims, referrals, pre-estimates).

Job Summary Details:

• Data Entry

• Benefit determination and claims or pre-authorization and specialty referral processing

• Maintain current knowledge of the service level agreements (SLA) and state regulations for processing purposes

• Promote and support a teamwork culture and environment

• Maintain a safe and productive working environment following established protocols

• Perform other duties as assigned or determined appropriate

Qualifications

Education/Experience:

• High School or equivalent required

• Registered Dental Assistant (RDA) preferred

• 1+ years' experience billing / processing dental claims required

Specific Skills/Knowledge:

• Working knowledge of Microsoft Office (Excel, Outlook, and Word)

• Demonstrated ability to work independently and meet objectives

• Type a minimum of 40 wpm

• 10-key by touch

• Please be prepared to complete Online Skills Assessments as part of the hiring and interview process.

• Strong communication, presentation and customer service skills

• Front/back office experience in a dental office preferred

Location:

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

WHAT LIBERTY OFFERS:

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That's why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

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

• Competitive pay structure and saving options that help you reach your financial goals.

• Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!

• Medical insurance offered with low-cost premium for employee only coverage and LIBERTY subsidizes 50% of dependent coverage for eligible enrolled dependents.

• 100% employer paid dental coverage for employees and eligible dependents.

• 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents!

• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.

• Long Term Disability coverage

• Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.

• Employee Assistance Program

• Generous vacation and sick leave with the ability to roll time over.

• 10 paid company holidays

• Tuition Reimbursement

• Remote or Hybrid options for various positions

• And so much more...

Compensation:

In the spirit of pay transparency, we are excited to share the base salary for this position is $16.00 - $20.00 hourly, exclusive of fringe benefits or potential bonuses. If you are hired at LIBERTY, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors - we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued 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.