Medicare Customer Service Rep II

WPS—A health solutions company; Hyde Park Township (IL); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Medicare Customer Service Representative to join their team. In this fully remote role, you will respond to provider inquiries, educate them on coverage and claims, and assist with self-service tools. With a commitment to innovation and inclusivity, this non-profit organization values its employees and offers a supportive environment. If you have strong communication skills and a passion for helping others navigate the complexities of healthcare, this opportunity could be your next career move.

Benefits

Remote/hybrid options

Performance bonuses

401(k) match

Paid time off

Health/dental/telehealth from DAY 1

Professional development

Qualifications

• Ability to learn Medicare guidelines and self-service tools.
• Knowledge of insurance and medical terminology.

Responsibilities

• Responding to provider inquiries via telephone.
• Educating providers on coverage, claims, and self-service tools.

Skills

Medicare guidelines

Insurance knowledge

Medical terminology

Communication skills

Problem-solving skills

Computer navigation skills

Job description

Join to apply for the Medicare Customer Service Rep II role at WPS—A health solutions company.

This position responds to telephone inquiries from providers or their representatives, establishes rapport, and educates customers on coverage, claim submission, and self-service options.

Responsibilities include:

1. Responding to provider inquiries via telephone.
2. Educating providers on coverage, claims, and self-service tools via IVR and Portal.

Additional Information:

• Start Date: June 17, 2025
• Starting Pay: $19.60/hour
• Training: First 6 weeks, Monday-Friday, 7:30am-4:05pm CST
• Scheduled Shift: Monday-Friday, 8:30am-5:05pm CST
• Work from Home: Fully remote 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.

Ideal Candidate:

• Ability to learn Medicare guidelines and self-service tools.
• Knowledge of insurance and medical terminology.
• Strong communication skills, problem-solving, and computer navigation skills.

Benefits include:

• Remote/hybrid options, performance bonuses, 401(k) match, paid time off, health/dental/telehealth from DAY 1, professional development.

About WPS:

WPS Health Solutions is a non-profit health insurer and federal contractor based in Wisconsin, serving Medicare beneficiaries, military personnel, and families for over 75 years. We value an open, inclusive, and innovative work environment.