Remote Health Plan Care Specialist

WPS Health Solutions; Minneapolis (MN); Remote; USD 23,000 - 33,000; Full time

Benefits offered by this job

Remote work options

Performance bonus and merit increase

401(k) with employer match

Healthcare and dental insurance

Job summary

WPS Health Solutions is seeking a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will respond to inquiries about benefits, eligibility, and claims, resolving issues with accuracy and empathy from a remote-capable center.

This role requires clear written and verbal communication, strong multitasking, and the ability to navigate multiple systems. Training is provided, with regular hours and a focus on customer satisfaction.

Qualifications

• Clear communication to explain complex information.
• Ability to research and resolve inquiries across multiple systems.
• Commitment to HIPAA and CMS regulatory guidelines.

Responsibilities

• Serve as first contact for members, brokers, and providers with benefits, eligibility, claims, and billing inquiries.
• Explain benefits and eligibility clearly and resolve billing issues with empathy.
• Research and resolve provider inquiries related to claims and authorizations.
• Document all interactions accurately for follow-up and QA purposes.
• Collaborate with internal teams to handle complex inquiries and ensure a seamless member experience.

Skills

Verbal and written communication

Problem solving

Multitasking

Attention to detail

Microsoft Office proficiency

Education

High School Diploma or GED

Tools

Facets

NTT

Job description

WPS Health Solutions is seeking a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will respond to inquiries about benefits, eligibility, and claims, resolving issues with accuracy and empathy from a remote-capable center.

This role requires clear written and verbal communication, strong multitasking, and the ability to navigate multiple systems. Training is provided, with regular hours and a focus on customer satisfaction.