Remote Health Plan Support Specialist

WPS—A health solutions company; Missouri; Remote; USD 23.000 - 33.000; Vollzeit

Benefits dieser Stelle

Remote work options available

Performance bonus and/or merit raise

401(k) with 100% match for first 3% of

of your salary

70% match next 2% of salary

Health/dental/telehealth start day 1

PTO and professional development

Zusammenfassung

WPS, a health solutions company, is hiring a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will research and resolve benefits, eligibility, and claims inquiries with clear, accurate responses.

The role requires 1+ year of health insurance call center experience, strong communication, and multitasking abilities. Training is 8 weeks CT hours, followed by a 8:30am–5:00pm CT schedule, with remote work options available in approved states including

Qualifikationen

• One year of customer service experience in a fast-paced health insurance or healthcare call center.
• Strong verbal and written communication skills to explain complex information clearly.
• Demonstrated problem-solving skills with empathy and patience.
• Ability to multitask and manage time in a fast-paced environment.
• High level of accuracy and attention to detail.
• Proficiency in Microsoft Office Suite and portal navigation.
• Must adhere to a structured work schedule based on Central Time.

Aufgaben

• Serve as the first point of contact for members, brokers, and providers regarding benefits, eligibility, claims, billing, and healthcare services.
• Assist members in understanding 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 to ensure high customer satisfaction.
• Collaborate with internal teams to address complex inquiries and facilitate a seamless experience.
• Accurately document all interactions in the system for follow-up and quality assurance.
• Develop understanding of health plan products and regulatory requirements and stay updated.
• Ensure adherence to HIPAA and CMS guidelines when providing information and service.

Kenntnisse

Customer service

Communication

Multitasking

Attention to detail

MS Office

Ausbildung

High School Diploma or GED

Tools

Facets

NTT

Jobbeschreibung

WPS, a health solutions company, is hiring a Customer Care Center Rep to deliver exceptional service to members, brokers, and providers. You will research and resolve benefits, eligibility, and claims inquiries with clear, accurate responses.

The role requires 1+ year of health insurance call center experience, strong communication, and multitasking abilities. Training is 8 weeks CT hours, followed by a 8:30am–5:00pm CT schedule, with remote work options available in approved states including