Current jobs related to Claims Referral Specialist I - Tustin - Liberty Dental

  • Dental Claims Processor

    2 weeks ago

    Tustin, California, United States MediQuest Full time

    Job OpportunityMediQuest, a leading Dental Health Plan, is seeking a skilled Claims Processing Specialist to join their team. The ideal candidate will reside in the state of Washington and have a strong background in claims processing.The successful candidate will be responsible for processing dental claims, pre-authorizations, and referrals in compliance...

  • Medical Claims Specialist

    2 weeks ago

    Tustin, California, United States Histopathology Services Inc. Full time

    Medical Biller Job DescriptionWe are seeking a highly skilled and detail-oriented medical biller to join our team at Histopathology Services Inc.Key Responsibilities:Prepare and submit accurate and timely billing data and medical claims to insurance companies.Ensure patient medical information is up-to-date and accurate.Prepare bills and invoices, and...

  • Medical Claims Specialist

    4 weeks ago

    Tustin, California, United States Histopathology Services Inc. Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Biller to join our team at Histopathology Services Inc. The successful candidate will be responsible for managing medical claims, communicating with insurance companies, and maintaining accurate records.Key ResponsibilitiesProcess and manage medical claims, ensuring timely submission...

  • Medical Claims Specialist

    1 month ago

    Tustin, California, United States Histopathology Services Inc. Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Biller to join our team at Histopathology Services Inc. The successful candidate will be responsible for managing medical claims, communicating with insurance companies, and maintaining accurate records.Key ResponsibilitiesStay up-to-date on billing protocols and proceduresCommunicate...

  • Medical Claims Specialist

    1 month ago

    Tustin, California, United States Histopathology Services Inc. Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Biller to join our team at Histopathology Services Inc. As a Medical Biller, you will play a critical role in ensuring the smooth operation of our billing process.Key ResponsibilitiesStay up-to-date on billing protocols and proceduresCommunicate effectively with insurance companies and...

  • Medical Claims Specialist

    1 month ago

    Tustin, California, United States Histopathology Services Inc. Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Medical Biller to join our team at Histopathology Services Inc. As a Medical Biller, you will play a critical role in ensuring the smooth operation of our revenue cycle.Key ResponsibilitiesStay up-to-date on billing protocols and proceduresCommunicate effectively with insurance companies and...

  • Medical Claims Specialist

    1 month ago

    Tustin, California, United States Histopathology Services Inc. Full time

    Medical Biller Job DescriptionWe are seeking a highly organized and detail-oriented Medical Biller to join our team at Histopathology Services Inc.Key Responsibilities:Stay up-to-date on billing protocols and proceduresCommunicate effectively with insurance companies and healthcare providersManage and process medical claims, including denials and...

  • Medical Claims Specialist

    4 weeks ago

    Tustin, California, United States Histopathology Services Inc. Full time

    Medical Biller Job DescriptionWe are seeking a highly organized and detail-oriented Medical Biller to join our team at Histopathology Services Inc.Key Responsibilities:Stay up-to-date on billing protocols and proceduresCommunicate effectively with insurance companies and healthcare providersManage and process medical claims, including denials and...

  • Medical Biller Specialist

    2 weeks ago

    Tustin, United States Histopathology Services Inc. Full time

    Job Description We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording...

  • Medical Biller Specialist

    3 weeks ago

    Tustin, United States Histopathology Services Inc. Full time

    Job DescriptionJob DescriptionJob DescriptionWe are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing...

  • Client Service Specialist, Commercial Risk

    4 weeks ago

    Tustin, United States Vibrant Full time

    Client Service Specialist, Commercial Risk - Burnham WGB Burnham WGB is a team of talented and dedicated risk consultants uniquely equipped to solve the biggest challenges facing your organization. Our expert advisors thoroughly assess your business and situation to develop creative, comprehensive, and cost-effective solutions that are uniquely yours. Over...

  • Medical Billing Specialist

    1 day ago

    Tustin, United States Medusind Full time

    At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms.Our four-prong approach of an excellent management team coupled with detailed eye for...

  • Medical Records Specialist

    2 months ago

    Tustin, United States Medusind Full time $19

    At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with rich domain expertise and robust compliance norms. Our four-prong approach of an excellent management team coupled with a detailed eye for...

  • Insurance Specialist

    5 days ago

    Tustin, California, United States Alex Mora - State Farm Agent Full time

    Job SummaryAs an Insurance Specialist at Alex Mora - State Farm Agent, you will play a crucial role in supporting insurance agents in gaining and keeping customers. Your attention to detail, dedication to client relations, and sales-mindedness will equip you for this versatile position. You will be responsible for establishing customer relationships,...

  • Risk Management Specialist

    4 weeks ago

    Tustin, California, United States Baldwin Risk Partners Full time

    Job Title: Senior Claims ConsultantBaldwin Risk Partners is a leading provider of risk management solutions, and we are seeking a highly skilled Senior Claims Consultant to join our team.Job Summary:The Senior Claims Consultant will be responsible for managing insurance claims on an individual and portfolio level for our clients, providing expert advice and...

  • Guest Experience Specialist

    2 weeks ago

    Tustin, United States Marriott International Inc Full time

    Additional InformationPay: $22.20/hour Job Number24182883 Job CategoryRooms & Guest Services Operations LocationResidence Inn Tustin Orange County, 15181 Newport Ave, Tustin, California, United States, 92780VIEW ON MAP ScheduleFull Time Located Remotely?N Position Type Non-Management POSITION SUMMARY Our jobs arent just about giving guests a smooth check-in...

  • Guest Experience Specialist

    2 weeks ago

    Tustin, United States Marriott International Inc Full time

    Additional InformationPay: $22.20/hour Job Number24182883 Job CategoryRooms & Guest Services Operations LocationResidence Inn Tustin Orange County, 15181 Newport Ave, Tustin, California, United States, 92780VIEW ON MAP ScheduleFull Time Located Remotely?N Position Type Non-Management POSITION SUMMARY Our jobs aren’t just about giving guests a smooth...

  • Guest Experience Specialist

    2 weeks ago

    Tustin, United States Marriott International, Inc Full time

    Additional InformationPay: $22.20/hourJob Number24182883Job CategoryRooms & Guest Services OperationsLocationResidence Inn Tustin Orange County, 15181 Newport Ave, Tustin, California, United States, 92780VIEW ON MAPScheduleFull TimeLocated Remotely?NPosition Type Non-Management POSITION SUMMARY   Our jobs aren’t just about giving guests a smooth check-in...

  • Guest Experience Specialist

    2 weeks ago

    Tustin, United States Marriott International, Inc Full time

    Additional InformationPay: $22.20/hourJob Number24182883Job CategoryRooms & Guest Services OperationsLocationResidence Inn Tustin Orange County, 15181 Newport Ave, Tustin, California, United States, 92780VIEW ON MAPScheduleFull TimeLocated Remotely?NPosition Type Non-Management POSITION SUMMARY   Our jobs aren’t just about giving guests a smooth check-in...

  • Clinical Liaison Specialist

    1 week ago

    Tustin, California, United States HealthSouth Full time

    Clinical Liaison SpecialistAt Encompass Health, we're seeking a skilled Clinical Liaison Specialist to join our team. As a Clinical Liaison Specialist, you'll play a crucial role in cultivating strong referral relationships within a geographic territory. Your primary focus will be on developing and maintaining excellent relationships with all stakeholders,...

Claims Referral Specialist I

4 months ago

Tustin, United States Liberty Dental Full time
Job Details

Job Location
LIBERTY Dental Plan of California - Tustin, CA

Remote Type
Hybrid

Position Type
Full Time

Job Shift
Day

Description

Tooth be told, you will love working with us

We are seeking a Utilization Management (UM) Claims Referral Specialist to join our growing team

The ideal candidate lives near our Corporate Office Location in Tustin, CA

The 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 processing dental claims experience 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 $19.26 - $23.50 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.