Liberty Dental Plan Careers

Claims Referral Specialist III

Liberty Dental Plan Careers · Full Time · 3 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $22 - $27 per hour ⭐ 2-5 yrs exp 💼 Legal

Process complex dental claims, pre-authorizations, and referrals while ensuring adherence to plan guidelines and regulatory requirements. Maintain high productivity and quality standards for specialized client accounts and high-priority claims.

assistant medical organization partnerships

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Claims Referral Specialist I

Liberty Dental Plan Careers · Full Time · 3 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $18 - $22 per hour ⭐ 0-2 yrs exp 💼 Legal

Process dental claims, pre-authorizations, and specialty referrals accurately within established timelines and SLAs. Perform high-volume data entry and determine benefits according to plan guidelines and state regulations.

assistant customer-service medical communication organization partnerships

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Claims Referral Specialist II

Liberty Dental Plan Careers · Full Time · 3 hours ago

Liberty Dental Plan Careers

🌎 United States 💵 $20 - $25 per hour ⭐ 2-5 yrs exp 💼 Legal

Process dental claims, pre-authorizations, and referrals accurately while adhering to plan guidelines and service level agreements. Manage complex claims including Coordination of Benefits and Orthodontics while maintaining high productivity and quality standards.

assistant customer-service medical organization partnerships

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Encounter Data & Regulatory Analytics Manager

Liberty Dental Plan Careers · Full Time · a day ago

Liberty Dental Plan Careers

🌎 United States 💵 $115K - $144K per year ⭐ 5-10 yrs exp 💼 Software Development

Oversee encounter data submissions and regulatory reporting for Medicaid and Medicare lines of business. Lead a team of analysts while performing hands-on SQL analysis to ensure audit readiness and compliance.

sql edi medical team-management communication reporting leadership hiring partnerships compliance

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Provider Network Recruiter (Health Plans or Managed Care)

Liberty Dental Plan Careers · Full Time · 3 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $85000 - $95000 per year ⭐ 2-5 yrs exp 💼 Healthcare

The role involves identifying, engaging, and contracting dental providers to expand the provider network within an assigned territory. Key tasks include conducting outbound outreach, managing a recruitment pipeline, and coordinating credentialing documentation.

insurance medical crm communication reporting documentation organization time-management partnerships

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Staff Dentist (Nevada & New Jersey)

Liberty Dental Plan Careers · Full Time · 5 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $150K - $165K per year ⭐ 5-10 yrs exp 💼 Healthcare

Review dental claims and prior authorization requests to ensure medical necessity and adherence to coverage guidelines. Collaborate with clinical leaders and providers to maintain consistency in clinical determinations and support quality initiatives.

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Senior Staff Dentist

Liberty Dental Plan Careers · Full Time · 9 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $175K - $185K per year ⭐ 10+ yrs exp 💼 Healthcare

The Senior Staff Dentist will perform clinical reviews of dental claims and prior authorizations, ensuring compliance and accuracy. Additionally, they will mentor staff dentists and support quality improvement initiatives across the organization.

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Senior Staff Dentist

Liberty Dental Plan Careers · Full Time · 15 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $175K - $185K per year ⭐ 5-10 yrs exp 💼 Healthcare

Provide clinical leadership for Utilization Management and Review programs by reviewing dental claims and prior authorizations for medical necessity. Collaborate with providers and internal teams to improve care quality and ensure regulatory compliance across various populations.

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Market Operations Coordinator

Liberty Dental Plan Careers · Full Time · 16 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $22.74 - $27.29 per hour ⭐ 2-5 yrs exp 💼 Virtual Assistant

Coordinate client reporting processes and deliverables to ensure accuracy and timeliness. Act as a liaison between Client Services and internal departments to maintain operational records and streamline workflows.

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Market Operations Specialist

Liberty Dental Plan Careers · Full Time · 16 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $24.24 - $29.09 per hour ⭐ 2-5 yrs exp 💼 Others

Provide administrative and logistical support to the Market Operations team to ensure accurate execution of client implementations and renewals. Manage scheduling, document preparation, and project tracking while coordinating between internal departments.

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Compliance Program Manager (Government-Managed Healthcare Regulations Experience Required)

Liberty Dental Plan Careers · Full Time · 24 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $105K - $115K per year ⭐ 5-10 yrs exp 💼 Product

Oversee regulatory and contractual compliance across Commercial, Exchange, Medicaid, and Medicare lines of business. This includes managing audits, conducting annual risk assessments, and serving as a subject matter expert on government-managed healthcare regulations.

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Compliance Program Manager (Regulatory Implementation)

Liberty Dental Plan Careers · Full Time · 24 days ago

Liberty Dental Plan Careers

🌎 United States 💵 $105K - $115K per year ⭐ 5-10 yrs exp 💼 Product

Lead the implementation of regulatory and contractual requirements across multiple healthcare lines of business. Manage enterprise risk assessments, compliance reporting, and the HIPAA compliance program while collaborating cross-functionally.

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