Medicare Customer Service Rep II

WPS—A health solutions company; Illinois; 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 remote team. In this role, you will be the voice of the company, responding to provider inquiries and educating them on coverage and claims processes. This position offers the flexibility of remote work, along with competitive pay and a comprehensive benefits package from day one. If you're passionate about making healthcare easier and enjoy helping others, this is the perfect opportunity for you to thrive in a supportive environment.

Benefits

Remote and hybrid work options

Performance bonuses

401(k) with company match

Paid time off

Health, dental, and telehealth benefits

Professional development programs

Qualifications

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

Responsibilities

• Respond to provider inquiries via telephone.
• Educate providers on coverage and claim submission.

Skills

Medicare guidelines

Insurance terminology

Customer communication

Computer navigation

Job description

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This position will respond to telephone inquiries from providers or their representatives. Establish and maintain rapport with contacts and present a favorable corporate image. Educate customers on coverage, claim submission, and use of self-service offerings.

1. Receive and respond to a wide range of provider inquiries received via telephone.
2. Educate providers on coverage, claim submission, and how to use self-service options via the Integrated Voice Response (IVR) and Portal.

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 remote worker 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 Qualities

• Ability to learn and apply Medicare guidelines and use computer-based self-service tools.
• Knowledge of or ability to learn insurance and medical terminology.
• Ability to identify customer issues, research, and initiate appropriate actions. Communicate confidently and clearly with customers.
• Navigate multiple computer applications efficiently.
• Ask probing questions to identify issues.

Benefits

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

About WPS Health Solutions

WPS is a non-profit health insurer and federal contractor based in Wisconsin, serving individuals, families, seniors, and military personnel. We have over 75 years of experience, dedicated to making healthcare easier and supporting military and veteran communities.