Provider Enrollment Analyst / Credentialing, fully remote  Start Date February 12th
Posted 2025-04-06This a Full Remote job, the offer is available from: United States
Provider Enrollment Analyst / Credentialing
Who We Are
WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready. **
Culture Drives Our Success**
WPSÂ Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforceÂboth current and futureÂto effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
From 2021 to 2023, WPS Health Solutions was recognized for several awards:
 Madison, WisconsinÂs Top Workplaces
 USA Top Workplaces and the cultural excellence awards for Remote Work and Work-Life Flexibility
 Achievers 50 Most Engaged Workplaces® with the further honor of Achievers ÂElite 8 winner in the category of Culture Alignment
 DAV Patriot Employer
 VETS Indexes 4 Star Employer
 BBB Torch Award for Ethics from Better Business Bureau of Wisconsin
Role Snapshot
The Provider Enrollment Analyst will approve, deny, or return applications submitted by Medicare providers. This work is important in helping providers enroll in the Medicare program. **
In This Role You Will**
 Utilize on-line Medicare files/systems to verify research, update, and document enrollment information.
 Respond to provider/customer enrollment telephone and written inquiries.
 Ensure all provider enrollment data is properly controlled and tracked to ensure applications are approved or denied within standards of timeliness established by department and Centers for Medicare and Medicaid Services (CMS).
 Enter data into on-line national database and internal provider files (PECOS).
 Research and verify proper fees and inspections have been completed on certain suppliers.
How do I know this opportunity is right for me? If you:
 Possess confidence in your skills navigating a computer to process applications efficiently through multiple operating systems.
 Prioritize effectively, stay on task, and work independently.
 Are comfortable critically examining, analyzing and reviewing work items in detail for accuracy.
 Possess strong communication skills, both verbal and written.
 Enjoy research and problem-solving.
What will I gain from this role?
 Helping our providers enroll in Medicare to support the senior community.
 Having the opportunity to earn more by being a top performer.
 Enjoying flexible work hours.
 Opportunity to work remotely in the comfort of your home  no driving time, gas costs, or wear and tear on your vehicle.
 Experience working in an environment that serves our NationÂs military, veterans, Guard and Reserves and Medicare beneficiaries.
 Working in a continuous performance feedback environment.
Minimum Qualifications
 High school diploma or equivalent.
 1 or more years of business experience, including working in the insurance industry, claims processing, health care credentialling, billing or medical reimbursement.
Preferred Qualifications
 Associate degree in business administration, insurance, healthcare, or related fields.
 2 or more years of business experience, including working in the insurance industry, claims processing, health care credentialling, billing or medical reimbursement.
 Experience interpreting government regulations and applying to current processes.
 Course work in insurance, medical, customer service and/or financial.
 1 or more years of computer and navigation experience; preferably working with dual monitors
 Good work ethic and good attendance.
 Ability to communicate effectively over the phone.
 Experience working in a production-based environment.
Remote Work Requirements
 Wired (ethernet cable) internet connection from your router to your computer (add this bullet point only IF your role requires a wired connection)
 High speed cable or fiber internet
 Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
Additional Information
 Start Date: Monday, February 12th, 2024
 Starting Base Pay: $19.50 per hour
 Training Schedule: (5-6Weeks): Monday through Friday, 8:00-4:35pm CST
 Scheduled Shift: Monday through Friday, 6:00am-6:00pm, Flex Scheduling, max of 10 hours per day and 40 hours minimum per week
 Work Location: This position is 100% remote. To help strengthen communication, provide a sense of community, and improve the overall remote work experience, the assigned office community based on the positionÂs division is: Omaha, NE
Benefits
 Remote and hybrid work options available
 Performance bonus and/or merit increase opportunities
 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
 Competitive paid time off
 Health insurance, dental insurance, and telehealth services start DAY 1
 Employee Resource Groups
 Professional and Leadership Development Programs
 Review additional benefits here
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