Overpayment Specialist

Overpayment Specialist Fully Remote • Remote - Corp - Tustin, CA 92782 Apply Apply Description Overpayment Specialist (Remote) Make an impact behind the scenes of quality healthcare by helping ensure claims accuracy, recover overpayments, and strengthen processes that support members, providers, and clients. About the Role Liberty Dental Plan is seeking a detail-oriented and analytical Overpayment Specialist to join our Claims team. In this role, you will investigate and resolve claim overpayments, manage recovery efforts, analyze payment data, and collaborate with cross-functional teams to drive positive financial and operational outcomes. This is an excellent opportunity for a self-starter who enjoys problem-solving, working with data, and helping develop processes in an evolving and growing area of the business. Location: Remote Employment Type: Full-Time Compensation: $24.50 - $28.00 per hour What You'll Do Analyze dental claims data to identify and investigate overpayments. Determine the root cause of overpaid claims, including Coordination of Benefits (COB), Third-Party Liability (TPL), duplicate payments, client referrals, and other claim discrepancies. Research insurance coverage and policy information to support recovery efforts. Pursue reimbursement and recovery activities with providers, insurance carriers, and third parties. Manage provider disputes and appeals related to overpayment recoveries. Resolve complex collection issues through research, communication, and collaboration. Partner with teams across Finance, Claims, Member Services, Eligibility, and Account Management to support cost avoidance and COB/TPL initiatives. Assist with departmental projects and operational support as needed. Contribute to process improvements and help establish best practices within a developing function. What You'll Bring Required Qualifications High school diploma or GED. 2-4 years of experience reviewing medical or dental insurance claims. Experience verifying insurance coverage and understanding payer policies. Strong analytical, problem-solving, and critical-thinking skills. Excellent verbal and written communication skills. Proficiency in Microsoft Excel, Outlook, and Word. Minimum typing speed of 40 words per minute. Strong organizational and time-management skills. Exceptional attention to detail and commitment to accuracy. Ability to work independently while collaborating effectively with others. Strong customer service skills and a professional approach to resolving issues. Preferred Qualifications Bachelor's degree. Experience in dental insurance. Knowledge of Coordination of Benefits (COB), Third-Party Liability (TPL), cost avoidance, and overpayment recovery processes. Experience working with Medicaid, Medicare, and commercial insurance products. Experience developing or improving workflows, processes, and procedures. What Success Looks Like The ideal candidate is a proactive problem solver who takes ownership of their work, asks questions when needed, and thrives in an environment where continuous improvement is encouraged. You enjoy analyzing data, uncovering solutions, and helping build processes that create long-term value for the organization. Why Join Liberty Dental Plan? Work remotely in a collaborative and mission-driven environment. Partner with multiple departments across the organization. Play a meaningful role in maintaining claims accuracy and financial integrity. Gain exposure to a variety of insurance products and recovery processes. Help shape and improve a growing function through process development and innovation. Ready to Apply? If you're a detail-oriented claims professional with a passion for accuracy, investigation, and problem-solving, we'd love to hear from you. Apply today and join Liberty Dental Plan in delivering exceptional service and operational excellence. 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 $24.50 - $28.00 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.