Remote Health Insurance Care Center Rep

WPS Health Solutions; Charlotte (NC); Remote; USD 23,000 - 33,000; Full time

Benefits offered by this job

Remote work options

Performance bonus

401(k) with match

Paid time off

Health insurance

Dental insurance

Telehealth services

Professional development

Job summary

WPS Health Solutions seeks a Customer Care Center Representative to deliver exceptional service to members, brokers, and providers. You will respond to benefits, eligibility, and claims questions with clear, accurate information. Training runs eight weeks, 8:00–4:30 and requires attendance.

After training, shifts are 8:30–5:00 CT, Monday through Friday. Remote work is available to qualified applicants in several states.

Qualifications

• Minimum of a High School Diploma or GED.
• 1+ year of customer service in a fast-paced health insurance or healthcare call center.

Responsibilities

• Serve as the first point of contact for members, brokers, and providers about benefits, eligibility, claims, billing, and healthcare services.
• Assist members with understanding benefits, eligibility, and claim status; resolve billing issues.
• Respond to provider inquiries related to claims, authorizations, and reimbursement status.
• Address and resolve service requests, complaints, and issues with empathy and efficiency.
• Document all interactions accurately in the system for follow-up and QA.

Skills

Customer service

Communication

Problem solving

Multitasking

Attention to detail

MS Office

Portal navigation

Structured schedule

Education

High School Diploma

Tools

Facets

NTT

Job description

WPS Health Solutions seeks a Customer Care Center Representative to deliver exceptional service to members, brokers, and providers. You will respond to benefits, eligibility, and claims questions with clear, accurate information. Training runs eight weeks, 8:00–4:30 and requires attendance.

After training, shifts are 8:30–5:00 CT, Monday through Friday. Remote work is available to qualified applicants in several states.