Claims Referral Specialist I

## **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.** ## ***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 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 struct…