Remote Customer Care Advocate

WPS—A health solutions company; South Carolina; Remote; USD 23,000 - 33,000; Full time

Benefits offered by this job

Remote work options

Performance bonus or merit increase

401(k) match

Paid time off

Health/Dental/Telehealth start Day 1

Professional development

Job summary

WPS, a health solutions company, is seeking a Customer Care Center Representative to deliver exceptional service to members, brokers, and providers. You will respond to health plan inquiries, resolve issues with empathy, and document interactions across multiple systems for accurate follow-up.

Training occurs for 8 weeks, Mon-Fri CT, with a base salary of $20.50 per hour. The role supports remote work within approved states and a Monday–Friday schedule after training.

Qualifications

• 1+ year of customer service in health insurance or healthcare call center.
• Strong verbal and written communication with ability to explain complex information.
• Demonstrated problem-solving skills with empathy and patience.
• Ability to multitask and manage time in a fast-paced environment.
• Proficiency in Microsoft Office and portal navigation.
• Ability to work a structured schedule around Central Time.

Responsibilities

• Serve as first point of contact for members, brokers, and providers regarding benefits, eligibility, and claims.
• Explain benefits and eligibility, resolve billing issues, and confirm claim statuses.
• Respond to provider inquiries related to claims, authorizations, and reimbursement status.
• Document all interactions accurately in the system for follow-up and quality assurance.
• Collaborate with internal teams to resolve complex inquiries and ensure a seamless experience.

Skills

Customer service

Verbal & written communication

Multitasking

Attention to detail

Microsoft Office

Education

High School Diploma or GED

Tools

Portal navigation

HIPAA awareness

Job description

WPS, a health solutions company, is seeking a Customer Care Center Representative to deliver exceptional service to members, brokers, and providers. You will respond to health plan inquiries, resolve issues with empathy, and document interactions across multiple systems for accurate follow-up.

Training occurs for 8 weeks, Mon-Fri CT, with a base salary of $20.50 per hour. The role supports remote work within approved states and a Monday–Friday schedule after training.