Remote Senior Overpayment Recovery Specialist

WPS—A health solutions company; New Jersey; Remote; USD 27,000 - 39,000; Full time

Benefits offered by this job

Remote work options available

Performance bonus

401(k) match

Health insurance

Dental insurance

Telehealth services

Job summary

WPS, a health solutions company, is seeking a Senior Overpayment Recovery Specialist to lead work direction within the Overpayment Recovery Team. You will assist with workflow, diagnostics, and training while guiding staff through complex cases.

This role supports audits and regulatory compliance, including CMS and HIPAA, and offers remote work from approved states. Base pay starts at $24 per hour, with opportunities for growth based on experience.

Qualifications

• High School Diploma or equivalent.
• Two or more years Medicare Financial/Overpayment Recovery experience with proficiency in all overpayment recovery areas.
• Knowledge of Overpayment Recovery Regulations, including coordination of benefits and HIGLAS system.
• Ability to train new employees and mentor staff.
• Strong written and verbal communication skills.
• Ability to collaborate in internal and external audit activities.

Responsibilities

• Assist supervisor with monitoring and escalating department workload inventories for timely handling.
• Assist supervisor with mentoring new employees and providing process training.
• Support the 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 quality reviews of unit completed work.
• Assist with internal and external audit processes, including CMS/OMB requirements.
• Assist with ensuring jurisdictional process consistency and testing system changes.
• Ensure compliance with Federal Privacy Act and HIPAA requirements.
• Provide back-up by performing duties of related recovery roles.
• Other duties as required.

Skills

Mentoring staff

Audit coordination

Regulatory interpretation

Researching complex cases

Employee training

HIPAA & Privacy

Financial recovery

Cross-functional teamwork

Communication skills

Problem solving

Education

High School Diploma or equivalent

Tools

HIGLAS system

Online systems

Job description

WPS, a health solutions company, is seeking a Senior Overpayment Recovery Specialist to lead work direction within the Overpayment Recovery Team. You will assist with workflow, diagnostics, and training while guiding staff through complex cases.

This role supports audits and regulatory compliance, including CMS and HIPAA, and offers remote work from approved states. Base pay starts at $24 per hour, with opportunities for growth based on experience.