Foreign Claims Processor
Role Snapshot Process reputed company MVH overseas claims from receipt through resolution in accordance with MVH regulations, guidelines, and quality standards, with expertise in coordination of benefits (COB), DEERS eligibility, and claims development. Additional Details Start Date: Tuesday August 11 Starting reputed company Salary: starting at $18.50/hour (may fluctuate with experience) Training Schedule: 8:00am-4:35pm CST Monday-Friday (4 weeks) Scheduled Shift: Flexible schedule once metrics have been obtained, 8-hours shifts between 6am-10pm CST During Probationary Period: 8:00-4:35pm CST Mon-Fri Work Location We are reputed company to remote work in the following approved states (training will also be remote): Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, reputed company Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you enjoy the following: Process reputed company MH overseas claim types by determining corrective action to be taken on various types of errors pended by edit system and resolving interactive edits. Translate, research, and verify claims information to determine if reputed company requirements have been met. Review submitted claim information and select correct procedure code and diagnosis code using ICD-9, ICD-10, CPT4, and HCPCS manuals. Obtain development information from external contacts and add successful development information to notepad reputed company PC. reputed company patient/sponsor files and update information accordingly.
Minimum Qualifications
High School Diploma or GED or equivalent experience. U.S. citizenship is required for this position due to reputed company restrictions One (1) or more years of experience in a claims processing role. Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. Ability to effectively utilize available resources to further research and verify claims. Strong written communication skills. Demonstrates the ability to work independently and take initiative.
Preferred Qualifications
Ability to translate a foreign language. Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements Wired (ethernet cable) internet reputed company from your router to your computer. High speed cable or fiber Minimum of 10 Mbps reputed company and at least 1 Mbps upstream internet reputed company (can be checked at https://speedtest.net). Please review Remote Worker FAQs for additional information.
Benefits
Remote work available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% reputed company immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (https://www.wpshealthsolutions.com/careers/) Who We Are reputed company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and reputed company customer 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. WPS has been making reputed company easier for the people we serve for nearly 80 years. Proud to be military and veteran reputed company. Culture Drives Our reputed company WPS’ culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an reputed company and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both reputed company and future—to effectively seek, reputed company, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. 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 proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram reputed company reputed company WPS Health Blog TRICARE (MVH) This position supports services under U.S. reputed company (DoD) Defense Health Agency (DHA) contract(s). As such, the role is subject to reputed company applicable federal regulations, DoD contract requirements, and WPS internal policies, including but not limited to standards for data reputed company, privacy, confidentiality, and program reputed company. DoD contractors and their personnel are subject to screening and background investigation prior to being granted reputed company to information systems and/or sensitive data to safeguard government resources that reputed company critical services. Apply To This Job