at WPS Health Solutions in West Frankfort, Illinois, United States
Job Description
Description
Who We Are
WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrates 75 years of making health insurance easier for those we serve. Proud to be military and veteran ready.
Our Culture
WPS' Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.
In 2021, WPS Health Solutions was recognized for several awards including:
Madison, Wisconsin's Top Workplaces
Top Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility
Achievers 50 Most Engaged Workplaces with the further honor of Achievers "Elite 8" winner in the category of Culture Alignment
Role Snapshot
This position will respond to telephone inquiries from provider or representatives. Establish and maintain rapport with contacts and present a favorable corporate image. Educate customers on coverage, claim submission, and use of self-service offerings.
Receive and respond to a wide range of provider inquiries received via the telephone.
Educate providers on coverage, claim submission, and use the self-service offerings available via the Integrated Voice Response (IVR) and Portal.
How do I know this opportunity is right for me? If you:
Ability to learn and apply Medicare guidelines and computer-based self-service tools.
Knowledge of or ability to learn and apply insurance and medical terminology.
Ability to identify customers issues, research, and initiate appropriate action. *Ability to communicate with confidence and clarity when discussing concerns with customers.
Ability to navigate through multiple computer applications.
Ability to ask probing questions to identify issues.
What will I gain from this role?
Enhanced learning of Medicare guidelines.
Being part of a successful team. The GHA Contact Center was awarded Best Small Contact Center by the International Customer Management Institute (ICMI).
Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries
Continuous performance feedback
Minimum Qualifications
High School diploma or equivalent
1 or more years of customer service experience working with health insurance and/or Medicare experience.
1 or more years of customer service experience with direct contact with customers via telephone
Preferred Qualifications
1 or more years recent Medicare or health care insurance experience
2 or more years of call center experience
Coursework in coding and/ or medical terminology or understanding of general medical terminology.
Coursework in Business Administration, Communications, or related field.
1 or more years of DME (durable medical equipment) experience
Additional Information
Start Date: Monday, August 26th, 2024
Starting Pay: $19.60/hr
Training Schedule: First 5-6 weeks Monday-Friday 7:30am-4:05pm CST
Scheduled Shift: Monday-Friday 8:30am-5:05pm CST
Work from Home: This is a 100% remote opportunity within the vicinity of West Frankfort, IL. This is a non-exempt, non-bargaining unit position
Remote and hybrid work options available. To help strengthen communication, provide a sense of community, and improve the overall remote work experience, the assigned office community based on the position's division is: Omaha, Nebraska
Remote Worker Requirements: For remote position, employee is required to meet remote worker requirements, including a designated workstation, a wired (Ethernet) connection to the network, and a minimum of 10Mbps downstream connection with at least 1Mbps upstream (can be checked at https://speedtest.net)
Benefits
Remote and hybrid work options available
Performance bonus and/or merit increase opportunities
401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
Competitive paid time off
Health, dental insurance, Teladoc starts DAY 1
Review additional benefits here
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The... For full info follow application link.
Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer.
