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DescriptionRole SummaryProcess and develop Veteran Administration (VA) claims for missing information in accordance with VA regulations and guidelines.In this role you will:
Analyze claims to be determine if all claims filing requirements have been met.
Update line items to complete adjudication of claims.
Analyze claims to determine if eligibility requirements and claim filing requirements are met and make determinations.
Maintain integrity of claim auditing system by identifying and reporting potential system problems. Provide examples and documentation to support findings.
Deal tactfully with people in a wide variety of situations to convey a favorable corporate image.
Initiate written communication via web application letter writing system.
This role could be a good fit if you:
Enjoy problem solving & are detail oriented
You’ll benefit from this experience by:
Working in an environment that serves our Nation’s military, veterans, Guard and Reserves along with their families.
You need to have:
High school diploma or equivalent
Ability to learn and apply VA benefits, policy, and federal regulation
Ability to learn all VA claims processing methodologies and systems
We also prefer:
1 or more years as a medical claims processor OR 2 or more years of office experience in a customer service or insurance environment
Experience with medical claims processing and system applications
Knowledge of medical terminology, Current Procedural Terminology (CPT), and International Statistical Classification of Diseases and Related Health Problems (ICD-9) codes
Next steps:
After submitting your application, we will send you an online assessment. We recommend you try and complete it within two business days. You must complete and obtain a passing score on the assessment to be considered for the position.
Compensation and Benefits
Starting base salary $
Eligible for annual Performance Bonus Program
401(k) with dollar-per-dollar match up to 6% of salary
Competitive paid time off
Health and dental insurance start DAY 1
Vision insurance
Flexible spending, dependent care, and health savings accounts
Short- and long-term disability, group life insurance
Innovative professional and cognitive development programs
Additional Information:
Start Date: Monday, April 27th, 2020
Training Schedule: First 2 weeks Mon-Fri, 8:00 am-4:30 pm
Scheduled Shift: Flex scheduling between 6:00 am-6:00 pm with a minimum of 8 hour shifts
Work from Home: Must work onsite for 4 months minimum before being eligible to work remotely
Who 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 the World'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.Links and descriptions for: HIWPS 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.shtmlMVHWPS 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.shtmlGHAWPS 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.shtmlEPICEPIC Specialty Benefits provides businesses group insurance products that cover:
Life
Disability
Dental
Vision
Voluntary benefits
http://wpshealthsolutions.com/business-units/epicsb.shtmlStay connected: Sign-up for Job AlertsFOLLOW US!FacebookTwitterLinkedInEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Vacancy expired!