Medicare Customer Service Rep II

WPS—A health solutions company; Indiana (PA); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Medicare Customer Service Representative II to join their remote team. In this role, you will engage with providers, answering inquiries and educating them on coverage and claims. This position offers a chance to enhance your understanding of Medicare guidelines while being part of a recognized successful team. With a focus on customer service excellence, you'll navigate various computer applications and ensure clear communication. Join a company committed to making healthcare easier and serving military and Medicare beneficiaries, all while enjoying the flexibility of remote work.

Benefits

401(k) with company match

Paid time off

Health/dental insurance

Telehealth from DAY 1

Performance bonuses

Professional development programs

Qualifications

• 1+ years of customer service experience with health insurance or Medicare.
• Ability to learn Medicare guidelines and computer-based tools.

Responsibilities

• Respond to provider inquiries via telephone and educate on coverage.
• Maintain rapport with contacts and present a favorable corporate image.

Skills

Medicare guidelines

Customer service

Insurance and medical terminology

Computer applications

Communication skills

Education

High School diploma or equivalent

Job description

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

6 days ago Be among the first 25 applicants

This position will respond to telephone inquiries from providers or 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 the telephone.
2. Educate providers on coverage, claim submission, and use the self-service offerings available 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 any of our 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 computer-based self-service tools.
• Knowledge of or ability to learn and apply insurance and medical terminology.
• Ability to identify customer issues, research, and initiate appropriate actions. Communicate confidently and clearly with customers.
• Navigate through multiple computer applications.
• Ask probing questions to identify issues.

Benefits of the Role

• Enhanced learning of Medicare guidelines.
• Part of a successful team; awarded Best Small Contact Center by ICMI.
• Experience serving military, veterans, and Medicare beneficiaries.
• Continuous performance feedback.

Minimum Qualifications

• High School diploma or equivalent.
• 1+ years of customer service experience with health insurance and/or Medicare/DME claims.
• 1+ years of customer service experience via telephone.

Preferred Qualifications

• 1+ years of previous customer service at WPS or as a contracted Medicare CSR II.
• Recent Medicare or healthcare insurance experience.
• 2+ years of call center experience.
• Coursework in coding, medical terminology, or related fields.
• Coursework in Business Administration, Communications, or related fields.

Remote Worker Requirements

Designated workstation, wired Ethernet connection, minimum 10Mbps downstream and 1Mbps upstream (check at https://speedtest.net).

Benefits

• Remote and hybrid work options.
• Performance bonuses and merit increases.
• 401(k) with company match.
• Paid time off, health/dental insurance, telehealth from DAY 1.
• Professional and leadership development programs.

About WPS

WPS Health Solutions, a non-profit health insurer and federal contractor based in Wisconsin, serves Medicare beneficiaries, military personnel, and families for over 75 years, committed to making healthcare easier and being veteran-ready.

Our Culture

We foster an open, empowering employee experience, valuing diversity and innovation, and have received numerous awards for our workplace culture.