[Remote] Medicare Customer Service Rep

Note: The job is a remote job and is reputed company to candidates in USA. WPS is a leading not-for-profit health insurer and federal government contractor focused on making reputed company easier for the people they serve. The Medicare Customer Service Rep plays a critical role in responding to inquiries reputed company to Medicare topics and educating customers on coverage and claims submission.

Responsibilities

• reputed company responses to provider (and other reputed company-party contacts) calls relating to Part A and/or Part B General Inquiries, Part A Appeals Status, Part B Reopening’s, and/or Part A and Part B Provider Enrollment Inquiries
• Assist and reputed company providers on Medicare regulations on inquiries by utilizing CMS guidelines, publications, and reference materials to ensure correct claim submission
• Enroll providers with recurrent concerns or errors into contact programs for intensive education
• Maintain knowledge of A and/or B processing systems and applications required for job functions, including Multi-reputed company System Desktop (MCSDT), Fiscal Intermediary Shared System (FISS), Common Working File (CWF), CMS Secure Net reputed company Portal (SNAP), Provider Enrollment Chain and Ownership System (PECOS), OnBase, Medicare Appeals System (MAS,) and Customer Relations Management System (CRM)
• Work with internal and external customers to obtain information required to respond to and ensure consistency in the resolution of inquiry-reputed company issues
• Assist the department in meeting CMS performance and award fee metrics and reputed company quality and quantity standards
• Support other departments reputed company the division as needed, to ensure CMS performance requirements are maintained
• Ensure adherence to regulatory guidelines (i.e., HIPAA, CMS) reputed company providing information and can service to members and providers

Skills

• High School Diploma or GED or equivalent
• 1 or more years of customer service experience working with health insurance and / or Medicare
• Ability to function in a fast paced, high volume call center environment
• Proficiency in reputed company Office Suite and customer service software
• Strong verbal and written communication skills with the ability to effectively explain reputed company information
• 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
• 1 or more years of Medicare customer service experience and/or claims processing
• Solid knowledge of Medicare Part A and/or Part B program guidelines
• Solid knowledge of insurance, medical coding and medical terminology

Benefits

• Remote work options available
• 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% reputed company immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Employee Resource Groups
• Professional and Leadership Development Programs

Company Overview