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Location
, AZ, United States
Posted on
Sep 08, 2021
Profile
u003cpu003eu003cstrongu003eRole Summary:u003c/strongu003eu003c/pu003enu003cpu003ePerform functions related to updating claims payment and CMS/WPS workload tracking systems. Work under general supervision performing support services to internal and external customers.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003ePerform business analysis functions including data input, tracking, and reporting of workload.u003c/liu003enu003cliu003eComplete customer and management requests for information. Answer questions and provide information and documentation to internal and external customers and other MACs.u003c/liu003enu003cliu003eUpdate Fiscal Intermediary Standard System with new provider payment rates.u003c/liu003enu003cliu003eFulfill provider requests for detail PSu0026amp;R reports using CMS Provider Statistical and Reimbursement system.u003c/liu003enu003cliu003eAnalyze and process tie-in notices received from Centers for Medicare and Medicaid Services (CMS) relating to new providers, changes in ownership, terminations, or changes in fiscal intermediary.u003c/liu003enu003cliu003eRequest off-cycle cost reports from Medicare providers.u003c/liu003enu003cliu003eEnter pertinent provider information (payment rate, dates, ratios, codes, and names) into claims paying system.u003c/liu003enu003cliu003eAnalyze documents received from internal and external customers and make appropriate updates to CMS System for Tracking Audit and Reimbursement.u003c/liu003enu003cliu003eReview and verify accuracy of data input by others.u003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eThis role could be a good fit if you: u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eAre self-driven and have the ability to thrive in an independent roleu003c/liu003enu003cliu003ePossess excellent attention-to-detail and organizational skillsetsu003c/liu003enu003cliu003eEmbrace a diversity of tasks in support of departmental operationsu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eYouu0026rsquo;ll benefit from this experience by:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eBeing able to work from home in an independent positionu003c/liu003enu003cliu003eEnjoying an excellent work/life balance and a flexible schedule that encompasses core business hoursu003c/liu003enu003cliu003eWorking in an environment that serves our Nationu0026rsquo;s military, veterans, Guard and Reserves along with their families.u003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eYou need to have: u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eHigh school diploma or equivalentu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eWe also prefer: u003c/strongu003eu003c/pu003enu003culu003enu003cliu003ePost high school coursework in Business, Bookkeeping, or Accountingu003c/liu003enu003cliu003e1 or more years in accounting, bookkeeping, or financial services role with knowledge of Medicareu003c/liu003enu003cliu003eExperience in reimbursement process activitiesu003c/liu003enu003cliu003ePrior data entry experience and 10-key skillsu003c/liu003enu003cliu003eDemonstrated knowledge of basic bookkeeping/accounting and/or financial service processesu003c/liu003enu003cliu003eAbility to learn WPS/GHA programs relating to Cost Report process and tie-in noticesu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eCompensation and Benefitsu003c/strongu003eu003c/pu003enu003culu003enu003cliu003eEligible for annual Performance Bonus Programu003c/liu003enu003cliu003e401(k) with u003cstrongu003edollar-per-dollar match up to 6% of salaryu003c/strongu003eu003c/liu003enu003cliu003eCompetitive paid time offu003c/liu003enu003cliu003eHealth and dental insurance start u003cstrongu003eDAY 1u003c/strongu003eu003c/liu003enu003cliu003eVision insuranceu003c/liu003enu003cliu003eFlexible spending, dependent care, and health savings accountsu003c/liu003enu003cliu003eShort- and long-term disability, group life insuranceu003c/liu003enu003cliu003eDress for your dayu003c/liu003enu003cliu003eInnovative professional and cognitive development programsu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eWPS 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.u003c/pu003enu003cpu003eFounded 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 governmentu0026rsquo;s Medicare program. And we manage benefits for millions of active-duty and retired military personnel and their families.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eLearn more about WPSu003c/strongu003eu003c/au003eu003cstrongu003e. u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eOur Purpose and Valuesu003c/strongu003eu003c/pu003enu003cpu003eOur purpose is to make healthcare easier for those we serve. u003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eClick Hereu003c/strongu003eu003c/au003eu003c/pu003enu003cpu003eOur values u0026ndash; Customer Focused, Individual Responsibility, Mutual Respect, and Driven u0026amp; Passionate u0026ndash; are the core of who we are and how we conduct business every day.u003c/pu003enu003cpu003eu003cstrongu003eWPS Health Insuranceu003c/strongu003eu003c/pu003enu003cpu003eWPS 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.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****and Veterans Healthu003c/strongu003eu003c/pu003enu003cpu003eWPS 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.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****Health Administrators u003c/strongu003eu003c/pu003enu003cpu003eWPS 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 u0026amp; Medicare Services, weu0026rsquo;ve served Medicare beneficiaries and their health care providers since 1966.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****Health Planu003c/strongu003eu003c/pu003enu003cpu003eWPS Health Plan offers Health Maintenance Organization and Point-of-Service plans to the group and individual markets in eastern and north-central Wisconsin, plus third-party administrator services.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****Specialty Benefitsu003c/strongu003eu003c/pu003enu003cpu003eEPIC Specialty Benefits provides businesses group insurance products that cover:u003c/pu003enu003culu003enu003cliu003eLifeu003c/liu003enu003cliu003eDisabilityu003c/liu003enu003cliu003eDentalu003c/liu003enu003cliu003eVisionu003c/liu003enu003cliu003eVoluntary benefitsu003c/liu003enu003c/ulu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****connected:u0026nbsp;u003c/strongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eSign up for Job Alertsu003c/strongu003eu003c/au003eu003c/pu003enu003cpu003eu003cstrongu003eFOLLOW US!u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eFacebooku003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eTwitteru003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eLinkedInu003c/au003eu003c/strongu003eu003c/pu003e,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:e6da0c90-f987-63dc-99a9-fb8c9014f57e,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2021-09-08T21:14:38.949Z,InternalPostedDate:null},{JobBoardId:cdefa8ae-f907-5c13-2775-f0106d0aa34a,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2021-09-08T21:14:38.949Z}],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});
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