Job Information
WPS HEALTH SOLUTIONS Medicare Customer Service Rep in MADISON, Wisconsin
JOB REQUIREMENTS: Description Our Medicare Customer Service Rep plays a critical role in providing responses to telephone inquiries from medical providers or representatives related to a wide range of Medicare topics involving Part A (hospital insurance) and/or Part B (medical insurance). They are accountable to educate customers on coverage, claim submission, and use of self-service offerings. Success is accomplished by navigating multiple systems to research and resolve inquiries with a clear, accurate, and easy to understand response. Additional Information Start Date: 5/19/2026 Starting hourly rate: \$19.60/hour and may vary based on county SCA rates. Training Location/Schedule: Mandatory Training - First 5 weeks Monday-Friday from 7:30 AM - 4:05 PM Central Standard Time (CST) Scheduled Shift: After training - Shifts can start as early as 6:55 or as late as 8:30 AM CST and are 8 hours. This is based off business need. Work from Home: This is a 100% remote opportunity within any of our approved remote worker states. We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Can provide responses to provider (and other third-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. Would enjoy assisting and educating providers on Medicare regulations on inquiries by utilizing CMS guidelines, publications, and reference materials to ensure correct claim submission. Can enroll providers with recurrent concerns or errors into contact programs for intensive education. Would like to maintain knowledge of A and/or B processing systems and applications required for job functions, including Multi-Carrier System Desktop (MCSDT), Fiscal Intermediary Shared System (FISS), Common Working File (CWF), CMS Secure Net Access Portal (SNAP), Provider Enrollment Chain and Ownership System (PECOS), OnBase, Medicare Appeals System (MAS,) and Customer Relations Management System (CRM). Like to work with internal and external customers to obtain information required to respond to and ensure consistency in the resolution of inquiry-related issues. Can assist the department in meeting CMS performance and award fee metrics and all quality and quantity standards. Would enjoy supporting other departments within the division as needed, to ensure CMS performance requirements are maintained. Want to Ensure adherence to regulatory guidelines (i.e., HIPAA, CMS) when providing information and can service to members and providers. Minimum... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/9B7621071E834D7A Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.