Liberty Dental
Care Management Coordinator
Liberty Dental - Tustin, California, United States, 92681
Work at Liberty Dental
Overview
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Overview
Job Details
Job Location All Office Locations - NV, FL, NY, NJ, OK, CA
Remote Type Fully Remote
Position Type Full Time
Job Shift Day
Description
Join Liberty Dental Plan as We Shape the Future of Dental Insurance!
The Coordinator Care Management (CCM) provides confidential, unbiased assistance to eligible Liberty Dental Plan enrollees of Medicaid in need of dental services who also have a co-morbidity of special health care needs.
Job Summary Details Inform enrollees of available covered dental benefits. Help to resolve enrollee conflicts and barriers to dental care. Assist in securing enrollee dental services. Educate enrollees on their rights and responsibilities. Provide enrollee information on accessing the Liberty vehicles for complaints, appeals or grievance process. Ensure enrollee cases and events are documented correctly in the Health Solutions Plus (HSP) Care Assistant platforms. Manage telephone calls and email inquiries not limited to, seeking dental services, dissatisfaction, and second opinions. Provide education pertaining to the Liberty Case Management / Care Coordination Program. Provide research and response to various inquiries. Compose comprehensive written responses to all applicable inquiries. Perform dental case turnaround time in accordance with access standards regardless of the communication route (e.g. HSP / Care Assistant inquiry, workflow, email, facsimile, phone call, etc.). Able to work collaboratively within remote locations. Ensure compliance to all regulatory guidelines. Comply with all Liberty corporate and department guidelines, policies and procedures. Perform other duties as assigned or determined appropriate. The CCM is not limited in providing customer care services when the need arises and may assist with other lines of business as directed and educated to perform. The CCM will work collaboratively with multi-divisions of Liberty such as and not limited to Member Services, Provider Relations, Claims, Grievances, Staff Dentists, Supervisors, Managers and Leadership. The CCM will work collaboratively and interface with entities outside of Liberty such as Dental Offices, Primary Dental Providers and their representatives, health plan care coordinators, home and community-based service representatives, transportation vendors, hospital representatives, Primary Care Physicians or their delegates, legal representatives, varying State Government Agencies, Foster Care and Community Based Service providers. Perform other duties as assigned and deemed appropriate by management. Qualifications
Education/Experience
2 Year / Associate Degree, or equivalent years of administrative experience Registered Dental Hygienist (RDH) or
Registered Dental Assistant (RDA) , a plus 2 Years' experience in dental and/or healthcare, including prior experience working in insurance highly preferred. Specific Skills/Knowledge
Knowledge of medical and dental terminology highly preferred. Working knowledge of Microsoft Excel, Word, and Outlook.
Please be prepared to complete online skills assessments as part of the application process.
Capable of composing comprehensive written and verbal responses to inquiries. Critical thinking skills to appropriately resolve inquiries, escalated cases and orchestrate holistic care. Excellent customer service skills. Ability to work independently or within a team. Ability to adapt to a proprietary documentation database. Bilingual with ability to pass a Spanish dental terminology exam, 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.
This position is fully remote. Ideal Candidates will be located near a Liberty office location, preferably in the state of Florida.
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 structure and savings options
to help you reach your financial goals. Excellent 401(k) retirement benefits , including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines. Affordable medical insurance , with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan. 100% employer-paid dental coverage
for employees and eligible dependents. Vision insurance
with low-cost premiums for employee-only coverage and dependents. Company-paid basic life and AD&D insurance , equal to one times your base salary, with options to purchase additional supplemental coverage. Flexible Spending Accounts
for healthcare and dependent care expenses. Voluntary benefit programs , including accident, critical illness, and hospital indemnity insurance. Long-term disability coverage. Expansive wellness programs , including company-wide wellness challenges, BurnAlong memberships, and gym discounts. Employee Assistance Program (EAP)
to support mental health and well-being. Generous vacation and sick leave
policies, with the ability to roll over unused time. 10 paid company holidays. Tuition reimbursement
for eligible educational expenses. Remote or hybrid work options
available for various positions.
Compensation
In the spirit of pay transparency, the base hourly pay rate for this position is $20.67 - $23.56, not including fringe benefits or potential bonuses. At Liberty, your final base pay will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base pay range for this role. Typically, offers are not made at the top of the range to allow for future 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.
Job Location All Office Locations - NV, FL, NY, NJ, OK, CA
Remote Type Fully Remote
Position Type Full Time
Job Shift Day
Description
Join Liberty Dental Plan as We Shape the Future of Dental Insurance!
The Coordinator Care Management (CCM) provides confidential, unbiased assistance to eligible Liberty Dental Plan enrollees of Medicaid in need of dental services who also have a co-morbidity of special health care needs.
Job Summary Details Inform enrollees of available covered dental benefits. Help to resolve enrollee conflicts and barriers to dental care. Assist in securing enrollee dental services. Educate enrollees on their rights and responsibilities. Provide enrollee information on accessing the Liberty vehicles for complaints, appeals or grievance process. Ensure enrollee cases and events are documented correctly in the Health Solutions Plus (HSP) Care Assistant platforms. Manage telephone calls and email inquiries not limited to, seeking dental services, dissatisfaction, and second opinions. Provide education pertaining to the Liberty Case Management / Care Coordination Program. Provide research and response to various inquiries. Compose comprehensive written responses to all applicable inquiries. Perform dental case turnaround time in accordance with access standards regardless of the communication route (e.g. HSP / Care Assistant inquiry, workflow, email, facsimile, phone call, etc.). Able to work collaboratively within remote locations. Ensure compliance to all regulatory guidelines. Comply with all Liberty corporate and department guidelines, policies and procedures. Perform other duties as assigned or determined appropriate. The CCM is not limited in providing customer care services when the need arises and may assist with other lines of business as directed and educated to perform. The CCM will work collaboratively with multi-divisions of Liberty such as and not limited to Member Services, Provider Relations, Claims, Grievances, Staff Dentists, Supervisors, Managers and Leadership. The CCM will work collaboratively and interface with entities outside of Liberty such as Dental Offices, Primary Dental Providers and their representatives, health plan care coordinators, home and community-based service representatives, transportation vendors, hospital representatives, Primary Care Physicians or their delegates, legal representatives, varying State Government Agencies, Foster Care and Community Based Service providers. Perform other duties as assigned and deemed appropriate by management. Qualifications
Education/Experience
2 Year / Associate Degree, or equivalent years of administrative experience Registered Dental Hygienist (RDH) or
Registered Dental Assistant (RDA) , a plus 2 Years' experience in dental and/or healthcare, including prior experience working in insurance highly preferred. Specific Skills/Knowledge
Knowledge of medical and dental terminology highly preferred. Working knowledge of Microsoft Excel, Word, and Outlook.
Please be prepared to complete online skills assessments as part of the application process.
Capable of composing comprehensive written and verbal responses to inquiries. Critical thinking skills to appropriately resolve inquiries, escalated cases and orchestrate holistic care. Excellent customer service skills. Ability to work independently or within a team. Ability to adapt to a proprietary documentation database. Bilingual with ability to pass a Spanish dental terminology exam, 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.
This position is fully remote. Ideal Candidates will be located near a Liberty office location, preferably in the state of Florida.
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 structure and savings options
to help you reach your financial goals. Excellent 401(k) retirement benefits , including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines. Affordable medical insurance , with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan. 100% employer-paid dental coverage
for employees and eligible dependents. Vision insurance
with low-cost premiums for employee-only coverage and dependents. Company-paid basic life and AD&D insurance , equal to one times your base salary, with options to purchase additional supplemental coverage. Flexible Spending Accounts
for healthcare and dependent care expenses. Voluntary benefit programs , including accident, critical illness, and hospital indemnity insurance. Long-term disability coverage. Expansive wellness programs , including company-wide wellness challenges, BurnAlong memberships, and gym discounts. Employee Assistance Program (EAP)
to support mental health and well-being. Generous vacation and sick leave
policies, with the ability to roll over unused time. 10 paid company holidays. Tuition reimbursement
for eligible educational expenses. Remote or hybrid work options
available for various positions.
Compensation
In the spirit of pay transparency, the base hourly pay rate for this position is $20.67 - $23.56, not including fringe benefits or potential bonuses. At Liberty, your final base pay will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base pay range for this role. Typically, offers are not made at the top of the range to allow for future 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.