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.