Provider Certification Analyst Start Date Feb 28th starting pay 14.74/hr must reside in Madison or surrounding area

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\u003ch4 style=\u0022text-align: center;\u0022\u003e\u003cstrong\u003eProvider Certification Analyst, Start Date Feb 28th (starting pay $14.74/hr, must reside in Madison or surrounding area)\u003cbr /\u003e\u003cbr /\u003eWho We Are\u003c/strong\u003e\u003c/h4\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 celebrates \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 \u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eThe Provider Certification Analyst position will assist in maintenance of TRICARE Provider File online system, including determination of provider certification, eligibility and network status, and ensure accuracy for TRICARE National provider file shared by all TRICARE offices.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eIn this role you will:\u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003ePerform data Entry into online internal provider file\u003c/li\u003e
\u003cli\u003eResolve issues via phone, internet or correspondence. Respond to questions and problems through phone calls and written correspondence. Initiate telephone calls to obtain additional information to resolve certification issues.\u003c/li\u003e
\u003cli\u003eValidate, through research, all data entered into online system is accurate for claims processing. Identify claims processed erroneously and initiate appropriate reprocessing steps.\u003c/li\u003e
\u003cli\u003eVerify eligibility of providers.\u003c/li\u003e
\u003cli\u003eMaintain understanding of claim edits, entry, and enter information to correct edits, allowing claims to process. Assign provider number for claims processing.\u003c/li\u003e
\u003cli\u003eResearch jurisdiction and multiple files to determine status and ensure related claims or issues are addressed.\u003c/li\u003e
\u003cli\u003eWork with various internal departments regarding file content to pay or deny claims and verification of addresses.\u003c/li\u003e
\u003cli\u003eResolve special handle issues, claims, or projects as assigned by management.\u003c/li\u003e
\u003cli\u003eDetect online system issues or deficiencies and notify supervisor, researching and providing documentation.\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 able to navigate multiple systems and on-line resources to complete provider certification applications\u003c/li\u003e
\u003cli\u003eHave proficient Microsoft Office skillsets\u003c/li\u003e
\u003cli\u003eAre able to work independently, be task driven and switch gears quickly when necessary\u003c/li\u003e
\u003cli\u003ePossess excellent communication skills (verbal and written) and are detail-oriented\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\u003eWorking in a remote position with a flexible schedule\u003c/li\u003e
\u003cli\u003eBeing part of a team with work functions are impactful throughout the business line\u003c/li\u003e
\u003cli\u003eStrengthening certification and claims experience\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 experience in claims processing, or customer service\u003c/li\u003e
\u003cli\u003eUS. 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\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ePreferred Qualifications \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eKnowledge of TRICARE claims processing systems and edits\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eAdditional Information:\u003cbr /\u003e\u003c/strong\u003e\u003cstrong\u003eStart Date\u003c/strong\u003e: Monday, February 28\u003csup\u003eth\u003c/sup\u003e, 2022\u003cbr /\u003e\u003cstrong\u003eStarting Pay\u003c/strong\u003e: $14.74/hr\u003cbr /\u003e\u003cstrong\u003eTraining Schedule\u003c/strong\u003e: 8:00 am-4:00 pm central time, 4 weeks, then additional on the job training as needed\u003cbr /\u003e\u003cstrong\u003eScheduled Shift once fully trained\u003c/strong\u003e: Monday-Friday, 8-hour shifts between 6:00 am-10:00 pm, as staffing allows\u003cbr /\u003e\u003cstrong\u003eLocation\u003c/strong\u003e: Currently remote but must live within Madison or surrounding area for possible in-office work\u003cbr /\u003e\u003cstrong\u003eThis is a Bargaining Unit position.\u003c/strong\u003e\u003c/p\u003e
\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\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:2022-01-14T22:31:06.06Z},{JobBoardId:e6da0c90-f987-63dc-99a9-fb8c9014f57e,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2022-01-14T22:31:06.06Z,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