Remote Health Plan Care Advocate

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

Benefits offered by this job

Remote work options available

Performance bonus and merit increase

401(k) with matching

Competitive PTO

Health insurance starting day 1

Professional and Leadership Programs

Job summary

WPS, a health solutions company, is seeking a Customer Care Center Rep to deliver exceptional service for members, brokers, and providers. You will research inquiries across multiple systems and respond with clear, accurate information, while maintaining HIPAA and CMS guidelines.

The role starts with an 8-week training in CT, a Monday–Friday schedule, and a starting base salary of $20.50/hr. Remote work is available in several states, with a structured Central Time Zone work pattern.

Qualifications

• High School Diploma or GED or equivalent experience.
• 1+ year of customer service in a fast-paced health insurance or healthcare call center environment.
• Strong verbal and written communication skills with the ability to explain complex information clearly.
• Demonstrated problem-solving skills with empathy and patience.
• Solid ability to multitask, prioritize, and manage time effectively in a fast-paced environment.
• Proficiency in Microsoft Office Suite and website and/or portal navigation.
• Ability to adhere to a structured work schedule based around the central time zone.

Responsibilities

• Serve as the first point of contact for members, brokers, and providers regarding benefits, eligibility, claims, billing, and healthcare services.
• Assist members in understanding their benefits, eligibility, claim status, and resolution of billing issues.
• Respond to provider inquiries related to claims, authorizations, and reimbursement status.
• Address and resolve service requests, complaints, and issues with high levels of customer satisfaction.
• Collaborate with internal teams to address complex inquiries and ensure a seamless experience.
• Research and document details across multiple systems to provide clear, professional responses.
• Develop understanding of health plan products and regulatory requirements (HIPAA, CMS).
• Ensure adherence to regulatory guidelines when providing information and service.

Skills

Customer service

Communication

Multitasking

Attention to detail

Empathy

Time management

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Portal navigation

Job description

WPS, a health solutions company, is seeking a Customer Care Center Rep to deliver exceptional service for members, brokers, and providers. You will research inquiries across multiple systems and respond with clear, accurate information, while maintaining HIPAA and CMS guidelines.

The role starts with an 8-week training in CT, a Monday–Friday schedule, and a starting base salary of $20.50/hr. Remote work is available in several states, with a structured Central Time Zone work pattern.