Remote Health Plan Member Care Specialist

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

Benefits offered by this job

Remote work options

Performance bonus

401(k) match

Paid time off

Health and dental insurance

Telehealth services

Job summary

WPS, a health solutions company, seeks a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will respond to health plan inquiries with clear, accurate information and resolve issues with empathy, navigating multiple systems to ensure timely answers.

The role involves starting January 12, training for eight weeks 8am-4:30pm CT Mon-Fri, and a full training period before a 8:30am-5:00pm CT schedule. Remote work options are available for eligible states.

Qualifications

• High School Diploma or GED or equivalent experience.
• 1+ years of customer service in a fast-paced health insurance or healthcare call center.
• Proficient in Microsoft Office Suite and portal navigation.
• Ability to work the central time zone schedule.

Responsibilities

• Serve as the first contact for members, brokers, and providers with benefits, eligibility, and claims questions.
• Explain benefits, eligibility, and claims status clearly and accurately.
• Resolve inquiries and issues with empathy and efficiency, documenting all interactions.
• Collaborate with internal teams to resolve complex inquiries and ensure a seamless experience.
• Maintain HIPAA compliance and ensure accurate, thorough responses.

Skills

Customer service

Verbal communication

Written communication

Problem solving

Multitasking

Attention to detail

Education

High School Diploma or GED

Tools

Facets

NTT

Job description

WPS, a health solutions company, seeks a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will respond to health plan inquiries with clear, accurate information and resolve issues with empathy, navigating multiple systems to ensure timely answers.

The role involves starting January 12, training for eight weeks 8am-4:30pm CT Mon-Fri, and a full training period before a 8:30am-5:00pm CT schedule. Remote work options are available for eligible states.