Note: The job is a remote job and is open to candidates in USA. WPS is a health solutions company that provides insurance and support services for military personnel and their families. The Customer Service Rep will be responsible for handling inquiries related to TRICARE and Medicare benefits, assisting with claims and billing inquiries, and delivering exceptional customer service to military beneficiaries and medical providers.

Responsibilities

• Serving as the first point of contact for members and medical providers, answering inquiries regarding benefits, eligibility, claims, billing, and healthcare services
• Respond to an average of 80 or more inbound phone calls and written inquiries per day from retired military beneficiaries and medical providers
• Receive calls and written inquiries from retired military beneficiaries regarding their claim questions and status
• Process correspondence by reviewing detailed information across multiple systems to accurately resolve complex TRICARE related inquiries while delivering clear, thorough, and easy to understand responses
• You will use our various systems to find the, sometimes-complex, information and be expected to patiently explain it in a way that is easy-to-understand
• Quickly and efficiently respond to billing agents in hospitals and clinics regarding claim payment statuses, billing inquiries, and correcting billing errors as needed
• Maintain a high level of accuracy in handling confidential information and records
• Provide exceptional customer service to ensure a positive experience for each caller

Skills

• U.S. Citizenship is required for this position due to Department of Defense restrictions
• High School Diploma or GED or equivalent experience
• 1 or more years of customer service experience working in a fast paced, high volume call center environment
• Strong verbal and written communication skills with the ability to effectively explain complex information
• Proficiency in Microsoft Office Suite and customer service software
• Demonstrated customer service skills and the ability to handle difficult situations with empathy and patience
• Solid ability to multitask, prioritize, and manage time effectively in a fast-paced environment
• Ability to maintain a high level of accuracy and attention to detail
• 2 or more years of experience in a fast paced, high volume call center environment
• 1 or more years of customer service experience working with health insurance and/or medical claims
• Ability to learn medical and insurance terminology
• 1 or more years of experience with navigating dual monitor screens and utilizing multiple programs at once
• Strong skillsets in multi-tasking, research, and problem-solving

Benefits

• Performance bonus and/or merit increase opportunities
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Professional and Leadership Development Programs

Company Overview

• WPS, a health solutions company, is an independent, not-for-profit, local company based in Madison, Wisconsin. It was founded in 1946, and is headquartered in Madison, Wisconsin, USA, with a workforce of 1001-5000 employees. Its website is https://www.wpshealthsolutions.com/.

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