Provider Enrollment Analyst

Profile

\u003cp\u003e\u003cstrong\u003eWho We Are\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003ca href=\u0022https://www.wpshealthsolutions.com/about/index.shtml\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eWPS Health Solutions\u003c/a\u003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrated \u003ca href=\u0022https://www.wpshealthsolutions.com/75/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003e75 years\u003c/a\u003e of making health insurance easier for those we serve.\u0026nbsp; Proud to be military and veteran ready.\u0026nbsp;\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eOur Culture\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eWPS\u0026rsquo; Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.\u0026nbsp;\u003c/p\u003e
\u003cp\u003eIn 2021, WPS Health Solutions was recognized for several awards including:\u003c/p\u003e
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\u003cli\u003e\u003ca href=\u0022https://www.wpshealthsolutions.com/careers/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eMadison, Wisconsin\u0026rsquo;s Top Workplaces \u003c/a\u003e\u003c/li\u003e
\u003cli\u003e\u003ca href=\u0022https://topworkplaces.com/october-2021-awards-reveal/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eTop Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility\u003c/a\u003e\u003c/li\u003e
\u003cli\u003e\u003ca href=\u0022https://www.wpshealthsolutions.com/careers/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eAchievers 50 Most Engaged Workplaces\u0026reg; with the further honor of Achievers \u0026ldquo;Elite 8\u0026rdquo; winner in the category of Culture Alignment \u003c/a\u003e\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eRole Snapshot \u003cbr /\u003e\u003c/strong\u003eThe Provider Enrollment Analyst will approve, deny, or return applications submitted by Medicare providers. This work is important in helping providers enroll in the Medicare program.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eIn this role you will: \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eUtilize on-line Medicare files/systems to verify research, update, and document enrollment information\u003c/li\u003e
\u003cli\u003eRespond to provider/customer enrollment telephone and written inquiries\u003c/li\u003e
\u003cli\u003eEnsure all provider enrollment data is properly controlled and tracked to ensure applications are approved or denied within standards of timeliness established by department and Centers for Medicare and Medicaid Services (CMS)\u003c/li\u003e
\u003cli\u003eEnter data into on-line national database and internal provider files (PECOS)\u003c/li\u003e
\u003cli\u003eResearch and verify proper fees and inspections have been completed on certain suppliers.\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eHow do I know this opportunity is right for me?\u0026nbsp; If you: \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eAre confident in your skills navigating a computer to process applications efficiently through multiple operating systems\u003c/li\u003e
\u003cli\u003eAre able to prioritize effectively, stay on task, and work independently\u003c/li\u003e
\u003cli\u003eIf you are comfortable critically examining, analyzing and reviewing work items in detail for accuracy\u003c/li\u003e
\u003cli\u003eHave strong communication skills, both verbal and written\u003c/li\u003e
\u003cli\u003eComfortable with research and problem solving.\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eWhat will I gain from this role?\u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eHelping our providers enroll in Medicare to support the senior community\u003c/li\u003e
\u003cli\u003eHaving the opportunity to earn more by being a top performer\u003c/li\u003e
\u003cli\u003eEnjoying flexible work hours\u003c/li\u003e
\u003cli\u003eOpportunity to work remotely in the comfort of your home \u0026ndash; no driving time, gas costs, or wear and tear on your vehicle\u003c/li\u003e
\u003cli\u003eExperience working in an environment that serves our Nation\u0026rsquo;s military, veterans, Guard and Reserves and Medicare beneficiaries\u003c/li\u003e
\u003cli\u003eContinuous performance feedback\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eMinimum Qualifications \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eHigh school diploma or equivalent\u003c/li\u003e
\u003cli\u003e1 or more years of business experience, including but not limited to: working in the insurance\u003c/li\u003e
\u003cli\u003eindustry, claims processing, customer service, financial, or similar experience involving retrieving and analyzing information\u003c/li\u003e
\u003cli\u003eExperience communicating directly with customers or providers, which includes researching and responding to inquiries\u003c/li\u003e
\u003cli\u003eS. citizenship is required for this position due to Department of Defense restrictions\u003c/li\u003e
\u003cli\u003eCOVID-19 vaccination or WPS approval for an accommodation\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003ePreferred Qualifications \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eAssociates degree in business administration, insurance, healthcare, or related field\u003c/li\u003e
\u003cli\u003e1 or more years of computer and navigation experience\u003c/li\u003e
\u003cli\u003eExperience interpreting government regulations and applying to current processes.\u003c/li\u003e
\u003cli\u003eCourse work in insurance, medical, customer service and/or financial\u003c/li\u003e
\u003cli\u003eAbility to communicate effectively over the phone.\u003c/li\u003e
\u003cli\u003eExperience working in a production-based environment\u003c/li\u003e
\u003cli\u003eExperience working with dual monitor computers and navigating systems\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eAdditional Information:\u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eStart Date: Monday, March 28th, 2022\u003c/li\u003e
\u003cli\u003eStarting base pay is $16.88 per hour\u003c/li\u003e
\u003cli\u003eTraining Schedule (4 Weeks): Monday through Friday, 7:30am \u0026ndash; 4:05pm CST\u003c/li\u003e
\u003cli\u003eScheduled Shift: Monday through Friday, 6:00am-6:00pm, Flex Scheduling, max of 10 hours per day and 40 hours minimum per week\u003c/li\u003e
\u003cli\u003eEach quarter you have the opportunity to increase your pay rate (takes approximately 1 year to participate in program)\u003c/li\u003e
\u003cli\u003eAverage Increase: $3.00-5.00 per hour above base pay (Top Performers earn more)\u003c/li\u003e
\u003cli\u003eThis is a Bargaining Unit position\u003c/li\u003e
\u003cli\u003eWork from Home
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\u003cli\u003eMust live in the Madison, Wisconsin area\u003c/li\u003e
\u003cli\u003e100% remote opportunity- must meet department performance and productivity goals to continue working from home\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eBenefits\u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eRemote and hybrid work options available\u003c/li\u003e
\u003cli\u003ePerformance bonus and/or merit increase opportunities\u003c/li\u003e
\u003cli\u003e401(k) with \u003cstrong\u003edollar-per-dollar match up to 6% of salary \u003c/strong\u003e(100% vested immediately)\u003c/li\u003e
\u003cli\u003eCompetitive paid time off\u003c/li\u003e
\u003cli\u003eHealth, dental insurance, Teladoc starts \u003cstrong\u003eDAY 1\u003c/strong\u003e\u003c/li\u003e
\u003cli\u003eReview additional benefits \u003ca href=\u0022https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003ehere\u003c/a\u003e\u003c/li\u003e
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\u003cp\u003e\u003ca href=\u0022http://recruiting2.ultipro.com/WIS1003/JobBoard/e6da0c90-f987-63dc-99a9-fb8c9014f57e/Account/Register?cancelUrl=https://recruiting2.ultipro.com/WIS1003/JobBoard/e6da0c90-f987-63dc-99a9-fb8c9014f57e/?q=WPS&o=relevance\u0026amp;redirectUrl=/WIS1003/JobBoard/e6da0c90-f987-63dc-99a9-fb8c9014f57e/JobSearchAgent\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003e\u003cstrong\u003eSign up for \u003c/strong\u003e\u003cstrong\u003eJob Alerts\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eFOLLOW US!\u003c/strong\u003e\u003c/p\u003e
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\u003cp\u003e\u003cstrong\u003e\u003ca href=\u0022https://twitter.com/WPS_HS\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eTwitter\u003c/a\u003e\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e,EqualOpportunityEmployerDescription:Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities,PayTransparencyPolicyStatement:The 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),MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:false,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[],LicenseAndCertificationCriteria:[],SkillCriteria:[],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:cdefa8ae-f907-5c13-2775-f0106d0aa34a,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2022-01-31T20:43:32.43Z},{JobBoardId:e6da0c90-f987-63dc-99a9-fb8c9014f57e,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2022-01-31T20:43:32.43Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null,CompensationAnnualMinimum:null,CompensationAnnualMaximum:null,CompensationHourlyMinimum:null,CompensationHourlyMaximum:null,CompensationCurrency:null});

Company info

Wisconsin Physicians Service Insurance Corporation
Website : http://www.wpsic.com