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WPS Health Solutions: Medicare Secondary Payer

Company: WPS Health Solutions
Location: Madison
Posted on: October 14, 2020

Job Description:

Role Summary:The Medicare Secondary Payer Associate will review and resolve claims that are not able to be processed by the systems as submitted. This work is important to providing accurate and efficient payment to providers in the Medicare program, while protecting the Medicare trust fund.In this role you will:Utilize on-line Medicare files/systems to verify, research, update, and resolve claims that include secondary insurance coverage for the beneficiaryComplete notification to identified contractor when submitted insurance information does not reconcile to the national databaseThis role could be a good fit if you:Are proficient in navigating a computer to process applications efficiently through multiple operating systemsCan prioritize effectively, stay on task, and work independentlyFeel comfortable critically examining, analyzing, and reviewing work items in detail for accuracyPossess strong verbal and written communication skillsYou’ll benefit from this experience by:Gaining knowledge in the areas of Medicare Secondary Payer (MSP) and credit reporting activitiesAdvancing your career skillsetsWorking in a supporting, close-knit team environmentWorking in an environment that serves Medicare patientsYou need to have:High school diploma or equivalent1 or more years recent claims processing, customer service, financial adjustments, or similar experience involving retrieving and analyzing information from claims processing systemsWe also prefer:1 or more years of computer and navigation experienceAdditional Information:Scheduled Shift: Monday through Friday, flexible schedule between 6:00 am until 6:00 pm, 40-hours/week. Options also include four 10-hr days or four 9-hr days with 1 half dayWork from Home: This position is currently remote with the possibility of permanent remoteMust reside and perform work in WisconsinCompensation and BenefitsStarting base pay is $14.45401(k) withdollar-per-dollar match up to 6% of salaryCompetitive paid time offHealth and dental insurance startDAY 1Vision insuranceFlexible spending and dependent care saving accountsShort and long-term disability, group life insuranceInnovative professional and cognitive development programsWho We AreWPS Health Solutions is an innovator in health insurance and a worldwide leader in claims administration, serving millions of beneficiaries in the United States and abroad.Founded in 1946, WPS offers health insurance plans for individuals, families, and seniors, and group plans for small and large businesses. We are a world-class claims processor and program administrator for the government’s Medicare program. And we manage benefits for millions of active-duty and retired military personnel and their families.WPS has been named one of theWorld's Most Ethical Companies® by the Ethisphere® Institute for 10 years in a row.Learn more about WPS.Our Purpose and ValuesOur purpose is to make healthcare easier for those we serve.Click HereOur values– Customer Focused, Individual Responsibility, Mutual Respect, and Driven& Passionate– are the core of who we are and how we conduct business every day.Health InsuranceWPS Health Insurance offers high-quality health insurance plans for individuals and families, Medicare supplement plans for seniors, and group health plans for businesses of every size.Http://wpshealthsolutions.Com/business-units/wpshi.ShtmlMilitary and Veterans HealthWPS Military and Veterans Health administers claims and provides customer service and related activities for the U.S. Department of Defense and the U.S. Department of Veterans Affairs and their beneficiaries.Http://wpshealthsolutions.Com/business-units/wpsmvh.ShtmlGovernment Health AdministratorsWPS Government Health Administrators manages Medicare Part A and Part B benefits for more than 7 million beneficiaries. As one of the largest contractors for the Centers for Medicare& Medicare Services, we’ve served Medicare beneficiaries and their health care providers since 1966.Http://wpshealthsolutions.Com/business-units/wpsgha.ShtmlAriseArise Health Plan provides innovative and high-value health plans to groups and individuals in eastern and northeastern Wisconsin. With our quality Wisconsin-based customer service, Arise offers health care expertise with a personal touch.Http://wpshealthsolutions.Com/business-units/arise.ShtmlEPIC Specialty BenefitsEPIC Specialty Benefits provides businesses group insurance products that cover:LifeDisabilityDentalVisionVoluntary benefitsHttp://wpshealthsolutions.Com/business-units/epicsb.ShtmlStay connected: Sign-up for Job AlertsFOLLOW US!FacebookTwitterLinkedIn

Keywords: WPS Health Solutions, Madison , WPS Health Solutions: Medicare Secondary Payer, Other , Madison, Wisconsin

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