
Senior Overpayment Recovery Specialist
Remote · USJob$19/hrSeen todaySeen in employer's feed today
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Job overview
The Senior Overpayment Recovery Specialist assists the Overpayment Recovery Team with work direction, workflow, inventory, and departmental coordination. The role advises employees and helps resolve complex issues. It is mostly remote, but employees must live within 45 miles of Madison, Wisconsin. The position also supports audits, reporting, process guidance, and system testing.
Skills & qualifications
Skills
Qualifications
Full job description
JOB REQUIREMENTS: Description Role Snapshot The Senior Overpayment Recovery Specialist will assist the Overpayment Recovery Team with work direction, workflow, inventory, and coordination of activities and processes within the department. The role will advise and assist employees in the unit and support the resolution of difficult or complex issues. Additional Information Start Date:September 22 2026 Starting Base Salary: $19.00/hr. Pay may fluctuate with experience. Training Location/Schedule: Formal training first two weeks, with non-formal training after. Training shift is either 7:30am-4pm CT or 8am-4:30am CT. Scheduled Shift: Production hours 6am-8pm CT. 8-hour shift within this time frame. Work Location: You must live within 45 miles of Madison, even though this position is mostly remote. How do I know this opportunity is right for me? If you enjoy the following: 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 the preparation of daily, weekly, and monthly operations reports, including those related to 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 within daily work assignments. Provide necessary back-up by performing duties assigned to the Payment Recovery Representative, Payment Recovery Specialist, Reimbursement Analyst, Senior Reimbursement Analyst, and MSP Senior Analyst. Other job-related responsibilities may be assigned as required. Minimum Qualifications High School Diploma or equivalent. Two (2) 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... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/F3E805A4C9024EC3 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.
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