Senior Overpayment Recovery Lead - Remote

WPS Health Solutions; Charlotte (NC); Hybrid; USD 27,000 - 39,000; Full time

Benefits offered by this job

Remote work options

Bonus opportunities

401(k) match

Job summary

WPS Health Solutions is seeking a Senior Overpayment Recovery Specialist to guide the Overpayment Recovery Team, optimize workflows, and resolve complex cases. You will mentor staff, coordinate daily activities, and ensure regulatory compliance across audits and internal controls.

The role emphasizes process improvement, data reporting, and collaboration with cross‑functional teams to safeguard Federal privacy and accurate recovery outcomes.

Qualifications

• Two years or more Medicare Financial/Overpayment Recovery experience.
• Knowledge of Overpayment Recovery Regulations and related processes.
• Ability to train and mentor staff and support team development.
• Strong written and verbal communication for reporting and documentation.

Responsibilities

• Assist with workload monitoring, analysis, and escalation for timely handling.
• Mentor new employees and provide process training.
• Prepare daily, weekly, and monthly operations reports for Recovery activities.
• Interpret regulations and update work instructions and manuals.
• Research complex overpayment recovery cases and respond to inquiries.
• Conduct audits and quality reviews of unit work.
• Support internal and external audit processes (OMB-A123, SSAE-16, ISO).
• Ensure process consistency and test system changes; report issues.
• Maintain HIPAA/privacy compliance in daily tasks.

Skills

Medicare Recovery

Regulatory knowledge

Audit experience

Mentoring

Education

High School Diploma

Tools

HIGLAS system

Online systems

Audit software

Job description

WPS Health Solutions is seeking a Senior Overpayment Recovery Specialist to guide the Overpayment Recovery Team, optimize workflows, and resolve complex cases. You will mentor staff, coordinate daily activities, and ensure regulatory compliance across audits and internal controls.

The role emphasizes process improvement, data reporting, and collaboration with cross‑functional teams to safeguard Federal privacy and accurate recovery outcomes.