Description

Here at LIBERTY our FLOSSify is simple...

Find good people and help them shine!

The Overpayment Recovery Specialist is responsible for analyzing dental claims data, seeking reimbursement, and recovering overpayments from providers, third parties, and/or insurance carriers on overpaid dental claims. These claim overpayments are a result of incorrectly paid claims arising from COB issues, data mining, duplicate claim payments, client referrals, etc. Including but not limited to analyzing the overpayment data, and handling disputes and appeals from providers, and navigating difficult collection situations to resolution. Associate will have other coverage expertise for multiple plan types including Medicaid, Medicare and commercial exchange business.

Job Summary Details

• Analyze insurance policy documents to determine coverage

• Analyze the overpayment data to determine cause and actions needed to resolve overpayment recovery

• Handle disputes and appeals from providers

• Navigate difficult collection situations to resolution

• Work with interdepartmental LDP teams to ensure positive outcome from COB-TPL coordination and Cost Avoidance

• May assist Claims Coordinators with inventory and projects

• Perform other related duties as assigned

Qualifications

Education/Experience:

• High School Diploma or GED, required
• Bachelors Degree, preferred
• 2 years' experience working in medical or dental insurance reviewing claims including experience verifying different types of payer coverage and insurance policies

Specific Skills/Knowledge:

• Knowledge of vendors data files and invoice reconciliations
• Knowledge of dental terminology
• Ability to analyze insurance policy documents to determine coverage
• Ability to work independently or collaboratively when necessary
• Strong verbal and written communication skills
• Proficient in Microsoft (Excel, Outlook, Word) and maintain a minimum typing speed of 40 words per minute
  • Please be prepared to Complete an Online Skills Assessment as part of the hiring process.
• Must be detail-oriented and process within a monthly accuracy of 98%
• Strong customer service skills
• Strong organizational and time-management skills

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 society. That’s why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals
• Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!
• Medical insurance offered with low-cost premium for employee only coverage and LIBERTY subsidizes 50% of dependent coverage for eligible enrolled dependents.
• 100% employer paid dental coverage for employees and eligible dependents.
• 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents!
• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
• Long Term Disability coverage
• Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.
• Employee Assistance Program
• Generous vacation and sick leave with the ability to roll time over.
• 10 paid company holidays
• Tuition Reimbursement
• Remote or Hybrid options for various positions
• And so much more...

COMPENSATION:

In the spirit of pay transparency, we are excited to share the base hourly rate for this position is $20.93 - $28.25, exclusive of fringe benefits or potential bonuses. If you are hired at LIBERTY, your final base compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued 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. 

LIBERTYDental 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