Medicare Customer Service Rep II

WPS—A health solutions company; Connecticut; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Medicare Customer Service Rep II to join their team. In this fully remote role, you will engage with customers and providers, providing essential support and education on Medicare coverage and claims. With a focus on strong communication and problem-solving skills, you will navigate various tools to assist clients effectively. This opportunity offers a supportive environment with comprehensive benefits from day one, including health coverage and professional development programs. If you are passionate about making a difference in healthcare, this role is perfect for you.

Benefits

Remote and hybrid work options

Performance bonuses

401(k) with employer match

Paid time off

Health and dental benefits

Professional development programs

Qualifications

• Ability to learn Medicare guidelines and self-service tools.
• Strong communication skills and problem-solving abilities.

Responsibilities

• Respond to telephone inquiries from providers and customers.
• Educate customers on coverage and claim submission.

Skills

Medicare guidelines knowledge

Insurance and medical terminology

Strong communication skills

Proficiency in computer applications

Problem-solving skills

Job description

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Job Responsibilities

• Respond to telephone inquiries from providers or their representatives.
• Establish rapport with contacts and present a favorable corporate image.
• Educate customers on coverage, claim submission, and self-service options.

Additional Information

• Start Date: Tuesday, June 17th, 2025
• Starting Pay: $19.60/hour
• Training Schedule: First 6 weeks, Monday-Friday 7:30am-4:05pm CST
• Scheduled Shift: Monday-Friday 8:30am-5:05pm CST
• Work from Home: This is a 100% remote opportunity within approved states.

Remote Work Eligible States

Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

Candidate Requirements

• Ability to learn Medicare guidelines and self-service tools.
• Knowledge of insurance and medical terminology.
• Strong communication skills, ability to research and resolve issues.
• Proficiency in navigating multiple computer applications.
• Ability to ask probing questions to identify customer issues.

Benefits

• Remote and hybrid work options
• Performance bonuses and merit increases
• 401(k) with employer match
• Paid time off
• Health, dental, and telehealth benefits from DAY 1
• Professional development programs

About WPS Health Solutions

WPS is a non-profit health insurer and federal contractor based in Wisconsin, serving Medicare beneficiaries and military personnel for over 75 years.