Medicare Claims Specialist II – Remote Opportunity

WPS—A health solutions company; Texas; A distancia; USD 22.000 - 31.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work

Performance bonus

401k match

Paid time off

Health insurance

Dental insurance

Telehealth

Professional development programs

Descripción de la vacante

WPS Health Solutions seeks a Claims Rep 2 to process Medicare claims from receipt to resolution, ensuring accuracy and customer service. The role supports CMS metrics and maintains up-to-date knowledge of regulations and coding standards.

The position offers remote work options across approved states, with training Monday–Friday and 8-hour shifts between 6am–6pm CT after training concludes.

Formación

• High School Diploma or GED or equivalent.
• One year of hospital/clinic/medical office billing experience.
• Post-high-school coursework in insurance or medical-related studies.

Responsabilidades

• Process Medicare Part A and Part B claims per guidelines and rules.
• Handle complex adjustments and reconsiderations, including denials and patient complaints.
• Communicate with providers, members, and internal departments to resolve claims.

Conocimientos

Data entry proficiency

Multitasking

Attention to detail

Customer communication

Educación

High School Diploma or GED

Post-high-school coursework in insurance/medical studies

Descripción del empleo

WPS Health Solutions seeks a Claims Rep 2 to process Medicare claims from receipt to resolution, ensuring accuracy and customer service. The role supports CMS metrics and maintains up-to-date knowledge of regulations and coding standards.

The position offers remote work options across approved states, with training Monday–Friday and 8-hour shifts between 6am–6pm CT after training concludes.