Remote Health Insurance Support Specialist

WPS Health Solutions; Green Bay (WI); Remote; USD 23,000 - 33,000; Full time

Benefits offered by this job

Remote work options available

Performance bonus

401(k) with company match

Paid time off

Health insurance starts Day 1

Telehealth services

Professional and LeadershipDevelopment

Job summary

WPS Health Solutions is seeking a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will research inquiries across multiple systems, provide clear and accurate responses, and document interactions for follow-up and quality assurance.

The role requires understanding health plan products, HIPAA compliance, and a customer-first approach. Remote-friendly with a structured schedule, and training provided in CT time zone.

Qualifications

• Minimum 1 year of customer service in a fast-paced health insurance or healthcare call center.
• Strong verbal and written communication to explain complex information clearly.
• Ability to multitask, prioritize, and manage time in a fast-paced environment.

Responsibilities

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

Skills

Customer service

Written communication

Problem-solving

Empathy

Multitasking

Attention to detail

Time management

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

WPS Health Solutions is seeking a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will research inquiries across multiple systems, provide clear and accurate responses, and document interactions for follow-up and quality assurance.

The role requires understanding health plan products, HIPAA compliance, and a customer-first approach. Remote-friendly with a structured schedule, and training provided in CT time zone.