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Liberty Dental Plan
Claims Referral Specialist I

Base Salary:

$40k - $44k

OK, USAPosted 12 hours ago
Plan International
Técnico/a de Educación
Nivel nacional, EcuadorPosted 13 hours ago
Community Health Plan of Washington
Program Manager II, Quality Reporting & Data Governance
Seattle, Washington, United StatesPosted 23 hours ago
Capital Health Plan
Ophthalmic Technician
2140 Centerville Place, Tallahassee, FL, USAPosted 1 day ago
Capital Health Plan
Ophthalmic Technician
1491 Governors Square Boulevard, Tallahassee, FL, USAPosted 1 day ago
L.A. Care Health Plan
Community Resource Center Specialist II (Onsite- Lincoln Heights Location)

Base Salary:

$47.8k - $68.5k

Los Angeles, CA, US, 90017Posted 1 day ago
Plan International
Pasante de Gestión y Análisis de Datos Proyecto Fondo Mundial
San Salvador, El SalvadorPosted 1 day ago
Plan International
Spécialiste du Partenariat et des Opérations
N'Djamena, ChadPosted 2 days ago
Plan International
Monitoring, Evaluation, Research and Learning (MERL) Specialist
Cox's Bazar, BangladeshPosted 2 days ago
Community Health Plan of Washington
Program Manager II, Accreditation & Regulatory Management (ARM)
Seattle, Washington, United StatesPosted 2 days ago
Community Health Plan of Washington
HEDIS Quality Improvement Nurse
Seattle, Washington, United StatesPosted 2 days ago
L.A. Care Health Plan
Managed Long Term Services and Supports Program Specialist II

Base Salary:

$60.8k - $91.2k

Los Angeles, CA, US, 90017Posted 3 days ago
Inland Empire Health Plan
Legal Secretary

Base Salary:

$72k - $72k

Rancho Cucamonga, CA, United StatesPosted 3 days ago
Plan International Australia
Senior Philanthropy Adviser - Remote

Base Salary:

A$106k - A$112k

Sydney, New South Wales 2000, AustraliaPosted 3 days ago
MR PLAN Group
Konstrukteur (m/w/d)
KecskemétPosted 3 days ago
MR PLAN Group
Teamleiter Konstruktion (m/w/d)
KecskemétPosted 3 days ago
Liberty Dental Plan
Senior Product Owner

Base Salary:

$105k - $125k

OK, USAPosted 3 days ago
Liberty Dental Plan
Senior Scrum Master (Agile Coach)

Base Salary:

$125k - $145k

OK, USAPosted 3 days ago
Brighton Health Plan Solutions
Complex Case Manager
Chapel Hill, NCPosted 4 days ago
Plan International
Project Manager- WASH Engineer -Climate Proof Water4Food Project
Gambella, EthiopiaPosted 4 days ago
Plan International
Educador(a) Social Sênior

Base Salary:

R$48k - R$48k

São Paulo, BrazilPosted 4 days ago
Plan International
Advanced Analytics Engineer

Base Salary:

£48.3k - £48.3k

United Kingdom, FlexiblePosted 4 days ago
Inland Empire Health Plan
Coordinator - Non-Routine Placement (Hybrid)

Base Salary:

$62k - $62k

Rancho Cucamonga, CA, United StatesPosted 4 days ago
Santa Clara Family Health Plan
Community Health Worker Program Manager
San Jose, CA, USPosted 4 days ago
Plan International
Power Platforms Analyst

Base Salary:

£37.8k - £37.8k

United Kingdom, FlexiblePosted 4 days ago
Plan International
Snowflake/DBT Engineer

Base Salary:

£37.8k - £37.8k

United Kingdom, FlexiblePosted 4 days ago
Plan International
Analista de Monitoreo y Evaluación
Nivel nacional, EcuadorPosted 4 days ago
Inland Empire Health Plan
Senior Director, Population Health

Base Salary:

$220.0k - $220.0k

Rancho Cucamonga, CA, United StatesPosted 4 days ago
L.A. Care Health Plan
Community Resource Center Community Health Coordinator II (Onsite- Pomona Location)

Base Salary:

$50.2k - $75.3k

Los Angeles, CA, US, 90017Posted 5 days ago
Plan International
Communications Specialist
Cox's Bazar, BangladeshPosted 5 days ago
Plan International
Country Supply Chain Manager - South Sudan
Juba, South SudanPosted 5 days ago
Plan International
Facilitador/a de Proyecto
Nivel nacional, EcuadorPosted 5 days ago
California FAIR Plan Association
Statistical Reporting Analyst (Remote)

Base Salary:

$75k - $85k

Remote - Los Angeles, California, United StatesPosted 5 days ago
Capital Health Plan
Claims Operations Director
1545 Raymond Diehl Road, Tallahassee, FL, USAPosted 5 days ago
Plan International
Resource Mobilization & Partnerships Lead - Pacific
Suva, FijiPosted 1 week ago
Plan International
Coordinador/a de Proyecto BMZ_FROSTA
Latacunga, EcuadorPosted 1 week ago
Liberty Dental Plan
Fulfillment Coordinator I
Tustin, CA, USAPosted 1 week ago
Plan International
Supply Chain Consultant - AIR SETARA

Base Salary:

IDR144000k - IDR144000k

Ruteng, Manggarai NTT, IndonesiaPosted 1 week ago
Inland Empire Health Plan
Engineer I - Integrated Operations
Rancho Cucamonga, CA, United StatesPosted 1 week ago
Inland Empire Health Plan
IT Specialist II - Service Desk
Rancho Cucamonga, CA, United StatesPosted 1 week ago
Inland Empire Health Plan
Transportation Network Representative
Rancho Cucamonga, CA, United StatesPosted 1 week ago
Upper Peninsula Health Plan (UPHP)
Clinical Coordinator - Care Manager - Medicaid

Base Salary:

$58k - $58k

Marquette, Michigan, United StatesPosted 1 week ago
Plan International
Project Assistant WFP - Alexandria, Damietta and Cairo
Alexandria, Damietta, Cairo, EgyptPosted 1 week ago
Plan International
Deployable Emergency Response Manager-MEESA (Internal vacancy)
MEESA, KenyaPosted 1 week ago
Plan International
Project Officer - WFP (Alexandria)
Alexandria, EgyptPosted 1 week ago
L.A. Care Health Plan
Utilization Management Clinical Quality Nurse Reviewer RN II

Base Salary:

$88.9k - $142.2k

ID, USPosted 1 week ago
Liberty Dental Plan
Associate Provider Network Manager

Base Salary:

$53k - $63k

Tampa, FL, USAPosted 1 week ago
Plan International
Especialista en Comunicaciones y Relaciones Públicas
CDMX, MexicoPosted 1 week ago
Inland Empire Health Plan
Special Programs Manager II - Health Services
Rancho Cucamonga, CA, United StatesPosted 1 week ago
MR PLAN Group
Entwicklungsingenieur Automotive (m/w/d)
Stuttgart, Böblingen, UntertürkheimPosted 1 week ago
Claims Referral Specialist I
Liberty Dental Plan
12 hours ago OK, USA Mid Level Revenue - $270.7M 514 employees $40k - $44k

Apply Manually

Job Details: Job Location: All States (Remote) - OK, Position Type: Full Time, 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 Role Liberty 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 hour Position Type: Hourly, Non-Exempt What You'll Do Process 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.   What You'll Bring: Required Qualifications High 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 Qualifications Registered 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 Succeed You'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 Environment This 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. Compensation In 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 Offers Our 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. Location Our 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.

Liberty Dental Plan
Founded:

2002

Total Funding:

$11.8M

Annual Revenue:

$270.7M

Headcount:

514

Industries:
Insurance
Description:

Liberty Dental Plan is a dental benefits manager and administrator based in Irvine, California, founded in 2001. The company specializes in providing affordable dental benefits for government-sponsored and commercial populations across the United States. With nearly 20 years of experience, Liberty Dental Plan serves over 7 million members, focusing on programs like Medicaid, CHIP, Medicare Advantage, and Medi-Cal, particularly for low-income and underserved communities. The company offers a wide range of dental services, including preventive, diagnostic, restorative, and orthodontic care. Liberty Dental Plan utilizes innovative programs such as tele-dentistry and value-based care through its BRUSH program to enhance member satisfaction and improve health outcomes. It maintains a national network of general and specialty dentists, hospitals, and community clinics, ensuring high-quality access to dental care. With a strong emphasis on technology-driven management and client retention, Liberty Dental Plan is committed to delivering customized solutions for its members and partners.

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