Payment Records Adjuster

JOB REQUIREMENTS: Description U.S. Citizenship is required for this position due to Department of Defense restrictions. Correct payment errors on a post-processing basis, including credits, additional payments, statistical adjustments, recoupments, correspondence, and patient or sponsor updates.Must live within 45 miles of WPS Corporate Center Building (1717 W. Broadway) in Madison, WI 53713 Additional Information Start Date: 8/23/26 Starting Base Salary: At least $17.75 Training Location/Schedule: On the job Training Monday-Friday core hours between 6:00am CT and 4:00pm CT Scheduled Shift: Flexible schedule once trained, 8-hours shifts between 6am-10pm Work Location: Remote and onsite options are available. How do I know this opportunity is right for me? If you: Have processed adjustments according to TRICARE Policy by making an additional payment, reissue, or statistical adjustment. Like to identify and credit refunds to correct claim history. Contact beneficiaries, providers, and other agencies as necessary to obtain information to ensure refunds are posted to correct account. Can request recoupment of payments in accordance with TRICARE Policy and Operational Manual. Enjoy responding to correspondence from internal and external customers to include departments within MVH Division, attorneys, insurance companies, TRICARE Management Activity (TMA), government agencies, and prime contractors. Can coordinate benefits with commercial insurance, Medicare, and other plans. Like to review computer generated and inventory reports to prioritize workflow to ensure claims processing timeline standards are met. Have reported aging inventory concerns or system issues to supervisor or unit coordinator. Enjoy processing adjustments and credits with an understanding of TRICARE Encounter Data editing requirements imposed by TMA. Like to review claims to determine if processing is correct according to automated claims processing system's methodology for pricing, reimbursement, and cost-sharing. Have interpreted legal documents for payments involving judgments such as custodial or bankruptcy. Enjoy making recommendations for process improvements by filing an Improvement Corrective Preventative Action (ICPA) and Potential Non-Conformance (PNC) forms. Can complete Sponsor Patient Information Updates (SPIU) accordingly. Minimum Qualifications U.S. Citizenship is required for this position due to Department of Defense restrictions. High school diploma or equivalent. 1 or more years recent TRICARE claims entry (claims support) or processing OR 2 or more years office experience involving account reconciliations and customer contact including bookkeeping, billing, or financial services. Possess data entry and 10-key skills Ability to learn and apply TRICARE benefits,... 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/8878C203E6BC4E7E Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.