Remote Senior Overpayment Recovery Lead

WPS Health Solutions; Indianapolis (IN); Remote; USD 27,000 - 39,000; Full time

Benefits offered by this job

Remote work options available

Performance bonus

401(k) with company match

Paid time off

Job summary

WPS Health Solutions in the United States is seeking a Senior Overpayment Recovery Specialist to lead and coordinate activities within the department. You will mentor staff, interpret complex regulations, and support audits while ensuring timely handling of overpayment cases.

The role involves analyzing workload, assisting with process improvements, and producing daily to monthly reports. Remote work options are available across approved states, with a starting base salary of $24/hour and

Qualifications

• 2+ years Medicare Financial/Overpayment Recovery experience.
• Knowledge of Overpayment Recovery Regulations and HIGLAS.
• Ability to interpret regulations and apply to manuals.
• Strong written and verbal communication for mentoring staff.
• Auditing and quality review experience.

Responsibilities

• Assist supervisor with monitoring workload inventories for timely handling.
• Mentor new employees and provide process training.
• Prepare daily, weekly, and monthly operations reports, including Recovery Audit activities.
• Interpret regulations and develop/revise work instructions and process manuals.
• Research and respond to complex overpayment recovery or financial cases.
• Perform audits or quality reviews of unit completed work.
• Support internal and external audit processes (OMB-A123, SSAE-16, ISO).
• Ensure jurisdictional process consistency and test system changes.

Skills

Overpayment Recovery

Regulatory interpretation

Mentoring / Training

Audit & quality review

Analytical reasoning

Communication skills

Education

High School Diploma or equivalent

Tools

HIGLAS system

Job description

WPS Health Solutions in the United States is seeking a Senior Overpayment Recovery Specialist to lead and coordinate activities within the department. You will mentor staff, interpret complex regulations, and support audits while ensuring timely handling of overpayment cases.

The role involves analyzing workload, assisting with process improvements, and producing daily to monthly reports. Remote work options are available across approved states, with a starting base salary of $24/hour and