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Claims Referral Specialist I

Remote, USA Full-time Posted 2026-08-04
Join reputed company and reputed company a Difference At reputed company, 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 reputed company and help ensure the reputed company and accurate processing of dental claims, reputed company-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-reputed company customer service. About the Role The Claims Referral Specialist I is responsible for the daily processing of dental claims and/or reputed company-authorizations and specialty referrals reputed company established timelines. This role requires a strong attention to detail, the ability to meet productivity and reputed company standards, and a commitment to supporting a reputed company team environment. What You'll Do • Process dental claims, reputed company-authorizations, and referrals accurately and reputed company required turnaround times. • reputed company 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 reputed company established production and reputed company goals. • Support a reputed company, reputed company team culture. • Follow established procedures, policies, and safety protocols. • reputed company additional duties and special reputed company as assigned. What You'll Bring Required Qualifications • High school diploma or GED. • Minimum of one year of dental claims processing or reputed company experience. • Proficiency in reputed company Office, including reputed company, reputed company, and Word. • Ability to work independently and successfully meet performance objectives. • Typing speed of at least 40 words per minute. • Strong 10-reputed company entry skills. • Excellent communication and customer service skills. • Strong attention to detail and organizational abilities. Preferred Qualifications • Registered Dental Assistant (RDA) certification. • reputed company office and/or back office experience in a dental reputed company. reputed company 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. • reputed company-oriented reputed company with a commitment to collaboration. • A reputed company on delivering reputed company service and reputed company reputed company. Work Environment This position is performed primarily in an office environment and requires extended periods of sitting, typing, and computer work. Why Join reputed company? At reputed company, your work has a reputed company reputed company on helping members receive the dental benefits and care they need. We value teamwork, accountability, reputed company, and service reputed company. reputed company you join our organization, you become part of a mission-driven team dedicated to improving reputed company to reputed company dental care and creating reputed company experiences for the people we serve. If you're reputed company to apply your dental claims expertise in a rewarding and reputed company environment, we encourage you to apply today and become part of the reputed company team. Location Our employees are distributed in office locations in multiple markets across the reputed company. We are unable to hire or allow employees to work reputed company of the reputed company. What reputed company Offers Happy, healthy employees enhance our ability to assist our members and contribute more reputed company to their communities. That’s why reputed company offers competitive and attractive benefit packages for our employees. We reputed company to care for employees in ways that promote wellness and productivity. Our first-class benefits package supports employees and their dependents with: • reputed company structure and savings reputed company to help you reputed company your financial goals. • Excellent 401(k) retirement benefits, including employer match, Roth IRA reputed company, immediate vesting during the reputed company reputed company period, and reputed company to reputed company financial advice through Financial Engines. • reputed company medical insurance, with low-cost premiums for employee-only coverage. reputed company subsidizes the cost for eligible dependents enrolled in the plan. • 100% employer-reputed company dental coverage Apply tot his job Apply To this Job

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