Medicare Customer Service Rep II

WPS Health Solutions; Indianapolis (IN); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking health insurer dedicated to serving military personnel, veterans, and Medicare beneficiaries. This remote role focuses on responding to provider inquiries and educating customers about coverage and claims. With a commitment to employee empowerment and workplace excellence, you will thrive in a supportive environment that values your contributions. Enjoy benefits like day-one health coverage, performance bonuses, and professional development opportunities while making a meaningful impact in the healthcare sector.

Benefits

Remote and hybrid work options

Performance bonuses

401(k) with company match

Health and dental benefits

Professional development programs

Qualifications

• Ability to learn Medicare guidelines and navigate self-service tools.
• Knowledge of insurance terminology and excellent communication skills.

Responsibilities

• Responding to provider inquiries via telephone.
• Educating providers on coverage and claim submission.

Skills

Medicare guidelines

Insurance knowledge

Research skills

Communication skills

Computer navigation

Job description

This position will respond to telephone inquiries from providers or their representatives. The role involves establishing rapport with contacts and presenting a favorable corporate image. You will educate customers on coverage, claim submission, and the use of self-service tools.

Responsibilities include:

1. Receiving and responding to provider inquiries via telephone.
2. Educating providers on coverage, claim submission, and self-service options through IVR and Portal.

Additional Information:

• Start Date: Tuesday, June 17^th, 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: 100% remote within approved states.

Eligible States for Remote Work:

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 use self-service tools.
• Knowledge of insurance and medical terminology or ability to learn.
• Skill in researching issues and communicating confidently with customers.
• Proficiency in navigating multiple computer applications.
• Ability to ask probing questions to identify issues.

Benefits:

• Remote and hybrid work options.
• Performance bonuses and merit increases.
• 401(k) with company match.
• Day-one health, dental, and telehealth benefits.
• Professional development programs.

About WPS Health Solutions:

A not-for-profit health insurer and federal contractor based in Wisconsin, serving military personnel, veterans, and Medicare beneficiaries for over 75 years. Committed to an empowering employee culture and recognized for workplace excellence.