Claims Coordinator

Claims Coordinator Fully Remote • LIBERTY Dental Plan Corp. - Tustin, CA 92782; Remote - Corp - Tustin, CA 92782 Apply Overview Position Type Full Time Category Insurance Claims Apply Description We’re looking for a proactive and detail-oriented Claims Coordinator to join our Post Audit team . In this role, you’ll be a key partner in ensuring claims accuracy, supporting audit processes, and delivering an exceptional experience to our provider network. You’ll serve as a primary point of contact for providers—helping resolve claim inquiries, guiding them through audit outcomes, and ensuring all activities are handled with precision, accountability, and compliance. What You’ll Do Serve as a trusted resource for providers by responding to inquiries via phone and email with professionalism, accuracy, and timely follow-up Research and investigate claim statuses by reviewing documentation, system data, and applicable guidelines to deliver clear and concise responses Act as a central point of contact for assigned hospitals and health systems, building strong and effective relationships Support audit processes by communicating findings, coordinating outreach, and influencing providers to obtain audit signoff Manage daily claims activities, including sending audit findings and appeal determination responses Track, monitor, and follow up on outstanding audit and claims-related items to ensure timely resolution Assist in obtaining and triaging provider appeals to the appropriate internal teams Ensure adherence to federal compliance standards, policies, and contractual requirements Analyze and create spreadsheets to track claims activity, audit outcomes, and provider interactions What We’re Looking For High School Diploma or GED required; Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred 2+ years of experience in claims processing, healthcare operations, or a related environment Strong customer service and communication skills, with the ability to manage provider interactions professionally Ability to research, analyze, and resolve claims-related issues with strong attention to detail Comfortable navigating high-volume workflows and managing multiple priorities Proven ability to build relationships and effectively communicate with external partners Proficiency in Microsoft Excel and experience with data tracking or reporting Familiarity with healthcare compliance standards, audits, or appeals processes is a plus What You Can Expect A fast-paced, collaborative environment where your work directly impacts provider experience and operational success Hands-on exposure to audit, appeals, and compliance processes Opportunities to grow within claims, audit, or broader healthcare operations A role where organization, accountability, and relationship management are key to success Additional Information Must maintain confidentiality and adhere to all regulatory and compliance requirements Other duties as assigned Qualifications 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 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 salary range for this position is $21.00 - $26.00 an hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary 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 salary 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.