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Claim Examiner (7178412)
Last Updated: 2020-02-14
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary:

Receive, research, and review allegations of fraud or abuse by beneficiaries and providers. Review issues of TRICARE eligibility, other health insurance concealment, balance billing and assignment of benefit violations, and claim adjudications questions or issues. This team also focuses on claims processing work.

In this role you will:

Human Resources Intern (7175172)
Last Updated: 2020-02-13
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary:

The Internship Program with WPS Health Solutions is comprised of four key components. WPS interns will primarily focus on the responsibilities within their functional areas, as it relates to their respective field of study. In a group setting, interns will collaborate on the “Pay-It-Forward Project” – the development…

Customer Advocate 1 (7166452)
Last Updated: 2020-02-10
Employer: Blue Cross Blue Shield
Location: Marion, IL

Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone…

Customer Advocate I (7159089)
Last Updated: 2020-02-06
Employer: Health Care Service Corporation
Location: Marion, IL

Description:

BASIC FUNCTION:
Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90 of the scheduled…

Medical Director (7132929)
Last Updated: 2020-01-26
Employer: WPS Health Solutions
Location: West Frankfort, IL

Role Summary:

The Medical Director is a physician leader with expert knowledge in Medicare appeals and regulations. The Medical Director is responsible for clinical coverage determinations and staff trainings on clinical matters and collaborating with medical societies and peer groups to share information and provide education.

In this role you

Legend

  • Registered Apprenticeship