Instructor - Foreign Languages jobs in Madison, WI

Who We Are

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 . Proud to be military and veteran ready.

Culture Drives Our Success

WPS' 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 workforce-both current and future-to 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.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace:

Role Snapshot

Process all MVH overseas claims from receipt through resolution in accordance with MVH regulations, guidelines, and quality standards, with expertise in coordination of benefits (COB), DEERS eligibility, and claims development.

In this role you will:

• Process all MH overseas claim types by determining corrective action to be taken on various types of errors pended by edit system and resolving interactive edits.
• Translate, research, and verify claims information to determine if all requirements have been met.
• Review submitted claim information and select correct procedure code and diagnosis code using ICD-9, ICD-10, CPT4, and HCPCS manuals.
• Obtain development information from external contacts and add successful development information to notepad via PC.
• Create and update all computer files for patient/sponsor screens, eligibility, and other health insurance information.
• Coordinate translation of most frequently used foreign languages.
• Convert foreign currencies to U.S. dollar amounts.
• Update computer screens to payment levels for payable services.
• Access patient/sponsor files and update information accordingly.
• Correct claim information and adjudication errors through reprocess application.
• Generate queries and re-queries from DEERS eligibility database, as well as data discrepancy records.
• Determine medical review referral of claims based on contract requirements and diagnoses.
• Use PC and on-line systems to research and obtain processing information.

How do I know this opportunity is right for me? If you:

• Possess strong data entry skills with the ability to stay focused
• Enjoy utilizing available resources to further research claims
• Have excellent written communication skills
• Are a self-driven, independent worker

What will I gain from this role?

• Gaining experience with medical terminology and claims processing
• Having a flexible schedule and working in a remote position
• Being eligible for health insurance benefits from Day 1.
• Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries
• Continuous performance feedback

Minimum Qualifications

• High school diploma or equivalent
• 1 or more years in a position requiring personal computer and data entry skills
• Ability to key a minimum of 40 words per minute
• Ability to apply provider codes and specialties
• Ability to learn medical terminology, diagnosis, and procedure codes
• Ability to learn MVH regulations, policies, procedures, and on-line claims processing
• procedures, system, and applications
• Ability to learn provider coding, entry, OHI, and DEERS
• Possess data entry and 10-key skills
• S. citizenship is required for this position due to Department of Defense restrictions

Preferred Qualifications

• 1 or more years of experience in a claims processing position.

Additional Information:

• Start Date: Monday, May 20^th, 2024
• Starting Base Salary: $17.20/hour
• Training Schedule: 8:00am-4:35pm CST Monday-Friday (4 weeks)
  • Week 1 - Remote (Onsite Optional) - Monday-Friday 8am-4:35pm CT
  • Week 2 - Onsite (Required)- Monday-Friday 8am-4:35pm CT
  • Remaining 2 Weeks- Remote/ Onsite Optional Monday-Friday 8am-4:35pm CT
  • All Onsite training will take place at the WPS Corporate Center Building (1717 W. Broadway) in Madison, WI
• Scheduled Shift: Flexible schedule once fully trained, 8-hours shifts between 6am-10pm CST M-F
• Work from Home: Currently able to work from home. Must reside within a 45-mile radius of Madison, WI WPS campus.
• Work Location: Remote and onsite options are available. Once training is complete (training includes one week of required onsite training at our Madison campus) you will have the option to work remote or onsite. Please note that the assigned office for this position is in Madison, WI and remote employees may be required to work at this location at times.

Remote Work Requirements

• Wired (ethernet cable) internet connection from your router to your computer
• High speed cable or fiber internet
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at )
• Please review for additional information

Benefits

• Bargaining Unit position
• 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

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