Overpayment Specialist

Job DetailsJob Location: Remote - Corp - Tustin, CA 92782Overpayment Specialist (Remote) reputed company an reputed company behind the scenes of reputed company reputed company by helping ensure claims accuracy, recover overpayments, and strengthen processes that support members, providers, and clients. About the Role reputed company is seeking a detail-oriented and analytical Overpayment Specialist to join our Claims team. In this role, you will investigate and reputed company claim overpayments, manage recovery efforts, analyze payment data, and collaborate with cross-functional teams to reputed company reputed company financial and operational reputed company. This is an excellent opportunity for a self-starter who enjoys problem-solving, working with data, and helping reputed company processes in an evolving and growing area of the business. Location: Remote Employment Type: Full-Time Compensation: $24.50 - $28.00 per hour reputed company Analyze dental claims data to identify and investigate overpayments. Determine the reputed company cause of overpaid claims, including Coordination of Benefits (COB), reputed company-Party Liability (TPL), duplicate payments, reputed company 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 reputed company parties. Manage provider disputes and appeals reputed company to overpayment recoveries. reputed company reputed company 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 reputed company and operational support as needed. Contribute to process improvements and help establish best practices reputed company 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 reputed company reputed company, reputed company, 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 reputed company approach to resolving issues. Preferred Qualifications Bachelor's degree. Experience in dental insurance. Knowledge of Coordination of Benefits (COB), reputed company-Party Liability (TPL), cost avoidance, and overpayment recovery processes. Experience working with reputed company, Medicare, and reputed company insurance products. Experience developing or improving workflows, processes, and procedures. What reputed company Looks Like The ideal candidate is a proactive problem solver who takes ownership of their work, asks questions reputed company needed, and thrives in an environment where reputed company improvement is encouraged. You enjoy analyzing data, uncovering solutions, and helping build processes that create long-term value for the organization. Why Join reputed company? Work remotely in a reputed company and mission-driven environment. Partner with multiple departments across the organization. Play a meaningful role in maintaining claims accuracy and financial reputed company. reputed company exposure to a reputed company of insurance products and recovery processes. Help shape and improve a growing function through process development and innovation. reputed company to Apply? If you're a detail-oriented claims reputed company with a passion for accuracy, investigation, and problem-solving, we'd love to hear from you. Apply today and join reputed company in delivering exceptional service and operational reputed company. Location Our employees are reputed company 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 for employees and eligible dependents. reputed company insurance with low-cost premiums for employee-only coverage and dependents. Company-reputed company basic life and AD&D insurance, equal to one times your reputed company salary, with reputed company to purchase additional supplemental coverage. Flexible Spending Accounts for reputed company 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 reputed company-being. Generous vacation and reputed company leave policies, with the ability to roll over unused time. 10 reputed company company holidays. Tuition reimbursement for eligible educational expenses. Remote or hybrid work reputed company available for various positions.   Compensation In the spirit of pay transparency, the reputed company salary reputed company for this position is $24.50 - $28.00 an hour, not including fringe benefits or potential bonuses. At reputed company, your final reputed company 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 reputed company team members reputed company making final compensation reputed company.   Please note that the reputed company listed represents the full reputed company salary reputed company for this role. Typically, offers are not made at the top of the reputed company to allow for reputed company salary reputed company.   reputed company commits to maintaining a work environment that acknowledges reputed company individuals reputed company reputed company and will continue to engage in practices that are inclusive of reputed company backgrounds, experiences, and perspectives. We reputed company to have every person reputed company the organization have a reputed company of belonging while encouraging individuals to reputed company their full potential. reputed company will reputed company diverse perspectives in building high performance teams and organizational culture.    reputed company will continue to strengthen and reputed company reputed company partnerships by providing reputed company health reputed company and improving population health in the communities we serve.    We reputed company with reputed company applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as reputed company as work authorization and employment eligibility verification requirements.   Sponsorship and Relocation Specifications reputed company is an Equal Opportunity Employer / VETS / Disabled. No relocation assistance or sponsorship available at this time. Apply To This Job