Senior Overpayment Recovery Specialist

Job not on LinkedIn

🔥 2 minutes ago

⛰️ Colorado, Florida, +13 more states – Remote

⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌾 Nebraska – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $24 / hour

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

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WPS

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WPS is a property services company that delivers whole-property solutions across maintenance, heating & compliance, energy efficiency & renewables, and facilities management. They position themselves as a strategic, purpose-driven partner for landlords and organisations, maintaining social and commercial housing and large public and private buildings. WPS highlights scale and expertise: maintaining 600,000 homes, delivering £200 million of energy-efficiency measures across 40 retrofit programmes, supporting 1,200 commercial properties with a 3,000-strong workforce, and providing services such as retrofits, fire-safety upgrades, heating compliance, and asset/facilities management.

📋 Description

• Assist the Overpayment Recovery Team with work direction, workflow, inventory, and coordination of departmental activities and processes. • Advise and assist employees in the unit and support resolution of difficult or complex issues. • Assist supervisor with monitoring, working, analyzing, and escalating department workload inventories for timely handling. • Assist supervisor with mentoring new employees and providing process training. • Support preparation of daily, weekly, and monthly operations reports, including Recovery Audit activities. • Assist with interpretation of regulations and development/revision of work instructions and process manuals. • Research and respond to complex Overpayment Recovery or financial case situations. • Perform audits and/or quality reviews of unit completed work. • Assist with and/or participate in departmental internal and external audit processes, including OMB-A123, SSAE-16, ISO Surveillance, and Internal Audit reviews. • Assist with ensuring jurisdictional process consistency, including process manuals and work instructions. • Provide technical assistance by identifying and reporting system problems and testing system changes. • Ensure compliance with Federal Privacy Act, HIPAA, and WPS conflict of interest and confidentiality requirements. • Provide back-up by performing duties assigned to Payment Recovery Representative, Payment Recovery Specialist, Reimbursement Analyst, Senior Reimbursement Analyst, and MSP Senior Analyst. • Perform other job-related responsibilities as required.

🎯 Requirements

• High School Diploma or equivalent. • Two (2) or more years Medicare Financial/Overpayment Recovery experience with proficiency in all overpayment recovery areas, or applicable adjustment experience in other WPS contracts. • Demonstrated knowledge of Overpayment Recovery Regulations, including coordination of benefits, financial cash receipts/recovery regulations and procedures, HIGLAS system, claims processing guidelines, edit resolution, and online systems. • Knowledge of how to interpret regulations and apply them to process manuals, work instructions, and departmental guidelines. • Knowledge of internal/external audit procedures, quality review standards, and audit documentation requirements. • In-depth knowledge of insurance, payment recovery, reimbursement processes, and overpayment case workflow. • Strong written and verbal communication skills for mentoring staff, preparing reports, and documenting procedures. • Skilled in researching and resolving complex financial or recovery-related case situations with sound judgment. • Ability to train new employees, provide ongoing coaching, and support team development. • Ability to collaborate effectively in internal and external audit activities and support cross-functional teams. • Wired (ethernet cable) internet connection from your router to your computer. • High speed cable or fiber internet. • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection. • CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data.

🏖️ Benefits

• Remote work options 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% vested immediately) • Competitive paid time off • Health insurance, dental insurance, and telehealth services start DAY 1 • Professional and Leadership Development Programs • Wired (ethernet cable) internet connection from your router to your computer • High speed cable or fiber internet

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