Medicare Customer Service Rep II

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

Job summary

An established industry player is seeking a Medicare Customer Service Representative to join their team. This role is perfect for individuals who enjoy helping others and have strong communication skills. You will be responsible for responding to provider inquiries and educating them on coverage and claims. With a fully remote work option and a supportive team environment, this position offers a great opportunity to grow your career in the health solutions sector. If you are passionate about making a difference and have the ability to learn quickly, this could be the ideal job for you.

Benefits

Performance bonuses

401(k) with immediate vesting

Day-one health benefits

Day-one dental benefits

Telehealth benefits

Qualifications

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

Responsibilities

• Respond to a wide range of provider inquiries received via telephone.
• Educate providers on coverage, claim submission, and self-service options.

Skills

Medicare guidelines

Insurance knowledge

Strong communication skills

Problem-solving ability

Proficiency in computer applications

Job description

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

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. Respond to a wide range of provider inquiries received via telephone.
2. Educate providers on coverage, claim submission, and self-service options via 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: 100% remote within approved states.

Eligible Remote 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 Medicare guidelines and self-service tools.
• Knowledge of insurance and medical terminology or willingness to learn.
• Strong communication skills, ability to research and resolve issues.
• Proficiency navigating multiple computer applications.

Benefits

• Remote and hybrid options
• Performance bonuses and merit increases
• 401(k) with immediate vesting
• Day-one health, dental, and telehealth benefits

About WPS

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