Remote Health Plan Support Specialist

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

Benefits offered by this job

Remote work options available

Performance bonus

401(k) with match

Job summary

WPS is seeking a Customer Care Center Representative to deliver exceptional service to members, brokers, and providers. You will research and resolve inquiries across multiple systems with clear, accurate responses, starting with benefits, eligibility, and claims questions.

Training runs 8 weeks, 8am-4:30pm CT; then regular shift 8:30am-5:00pm CT, Monday–Friday. Remote work is available within approved states, including CO, with a strong emphasis on HIPAA-compliant care.

Qualifications

• High School Diploma or GED or equivalent experience.
• 1+ years of customer service in health insurance or healthcare call center.
• Strong verbal and written communication.
• Empathy and patience in difficult situations.
• Able to multitask and manage time in a fast-paced environment.
• Proficient with Microsoft Office and portal navigation.

Responsibilities

• Serve as the first contact for members, brokers, and providers regarding benefits, eligibility, and claims.
• Explain benefits and assist with claim status and billing issues clearly.
• Address provider inquiries on claims, authorizations, and reimbursement status.
• Document interactions accurately in the system for follow-up and QA.

Skills

Verbal communication

Written communication

Problem solving

Multitasking

Attention to detail

Customer service

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Website/Portal navigation

Job description

WPS is seeking a Customer Care Center Representative to deliver exceptional service to members, brokers, and providers. You will research and resolve inquiries across multiple systems with clear, accurate responses, starting with benefits, eligibility, and claims questions.

Training runs 8 weeks, 8am-4:30pm CT; then regular shift 8:30am-5:00pm CT, Monday–Friday. Remote work is available within approved states, including CO, with a strong emphasis on HIPAA-compliant care.