Medicare Customer Service Rep II

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

Job summary

An established industry player is seeking a Medicare Customer Service Rep II to join their team. In this fully remote role, you will respond to provider inquiries, educate them on coverage options, and assist with claim submissions. This position offers a supportive environment where you can hone your communication and problem-solving skills while navigating various computer applications. With a strong focus on employee development and a commitment to excellence, this role provides a fantastic opportunity to grow within a not-for-profit health insurer serving the community for over 75 years.

Benefits

Remote and hybrid work options

Performance bonuses

401(k) with immediate vesting

Paid time off

Health benefits from DAY 1

Dental benefits

Telehealth benefits

Professional development programs

Qualifications

• Strong communication skills and problem-solving ability required.
• Ability to learn Medicare guidelines and self-service tools.

Responsibilities

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

Skills

Medicare guidelines

Insurance knowledge

Medical terminology

Communication skills

Problem-solving ability

Computer applications navigation

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 rapport, and educate customers on coverage, claim submission, and self-service options.

1. Respond to provider inquiries via telephone.
2. Educate providers on coverage, claim submission, and self-service tools such as 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: Fully remote within approved states.

Approved 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 Requirements

• Ability to learn Medicare guidelines and self-service tools.
• Knowledge of insurance and medical terminology.
• Strong communication skills and problem-solving ability.
• 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 immediate vesting
• Paid time off, health, dental, and telehealth benefits from DAY 1
• Professional development programs

About WPS

WPS Health Solutions, based in Wisconsin, is a not-for-profit health insurer and federal contractor serving Medicare beneficiaries, military personnel, and their families for over 75 years. We foster an inclusive, innovative work culture recognized for excellence.