Medicare Customer Service Rep II

WPS—A health solutions company; Town of Texas (WI); 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 team. This remote role involves responding to provider inquiries and educating them on coverage and claims. The ideal candidate will possess strong communication skills and the ability to navigate multiple applications efficiently. Enjoy the benefits of remote work, performance bonuses, and comprehensive health coverage from day one. If you're passionate about providing excellent customer service in the healthcare sector, this position is perfect for you.

Benefits

401(k) with immediate vesting

Paid time off

Health/dental insurance

Telehealth from DAY 1

Performance bonuses

Professional development programs

Qualifications

• Ability to learn Medicare guidelines and 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

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 the 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 the self-service options 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 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

Ideal Candidate Qualities

• Ability to learn and apply Medicare guidelines and 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 of the Role

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

About WPS Health Solutions

WPS is a not-for-profit health insurer and federal contractor, serving Medicare beneficiaries, military personnel, and their families for over 75 years. We value a culture of openness, innovation, and employee engagement.