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WPS Health Solutions Provider Enrollment Analyst- Start Date November 9th in West Frankfort, Illinois

Description

Role Summary

The 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.

In this role you will:

  • Utilize on-line Medicare files/systems to verify research, update, and document enrollment information

  • Respond to provider/customer enrollment telephone and written inquiries

  • Ensure 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)

  • Enter data into on-line national database and internal provider files (PECOS)

  • Research and verify proper fees and inspections have been completed on certain suppliers.

This role could be a good fit if you:

  • Are confident in your skills navigating a computer to process applications efficiently through multiple operating systems

  • Are able to prioritize effectively, stay on task, and work independently

  • If you are comfortable critically examining, analyzing and reviewing work items in detail for accuracy

  • Have strong communication skills, both verbal and written.

You’ll benefit from this experience by:

  • Helping people enroll in Medicare

  • Having the opportunity to earn more by being a top performer

  • 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

  • 2 or more years current claims processing, customer service, financial adjustments, or similar experience involving retrieving and analyzing information from claims processing systems

We also prefer:

  • 1 plus years of computer and navigation experience

  • Good work ethic and good attendance

  • Ability to communicate effectively over the phone.

Compensation and Benefits

  • Each quarter you have the opportunity to increase your pay rate (after the 1st year)

  • Average Increase: $5.00 per hour above base pay

  • Top Performers can earn over $10.00 per hour above base pay

  • 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, November 9th, 2020

  • Training Schedule (6 Weeks): Monday through Friday, 7:30am – 4:05pm

  • Scheduled Shift: Monday through Friday, Start Time Between 6:00am and 10:00am

  • Work from Home:

  • Must live in 45mins of the West Frankfort-IL, Marion-IL, or Rothschild, WI WPS offices.

  • Work performance will determine whether an employee is eligible to continue working remotely after the pandemic.

Who We Are

WPS 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 Values

Our purpose is to make healthcare easier for those we serve. Click Here

Our values – Customer Focused, Individual Responsibility, Mutual Respect, and Driven & Passionate – are the core of who we are and how we conduct business every day.

Your Team

Leticia DeYoung

Angie Mitchell

Cathy Pagel

Links and descriptions for:

HI

WPS 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.shtml

MVH

WPS 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.shtml

GHA

WPS 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.shtml

Arise

Arise 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.shtml

EPIC

EPIC Specialty Benefits provides businesses group insurance products that cover:

  • Life

  • Disability

  • Dental

  • Vision

  • Voluntary benefits

http://wpshealthsolutions.com/business-units/epicsb.shtml

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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)

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