Customer Service Rep II

Profile

\u003cp\u003e\u003cstrong\u003eWho We Are\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003ca href=\u0022https://www.wpshealthsolutions.com/about/index.shtml\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eWPS Health Solutions\u003c/a\u003e 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 celebrated \u003ca href=\u0022https://www.wpshealthsolutions.com/75/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003e75 years\u003c/a\u003e of making health insurance easier for those we serve.\u0026nbsp; Proud to be military and veteran ready.\u0026nbsp;\u003c/p\u003e
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\u003cp\u003e\u003cstrong\u003eOur Culture\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eWPS\u0026rsquo; 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.\u0026nbsp;\u003c/p\u003e
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\u003cp\u003eIn 2021, WPS Health Solutions was recognized for several awards including:\u003c/p\u003e
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\u003cli\u003e\u003ca href=\u0022https://www.wpshealthsolutions.com/careers/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eMadison, Wisconsin\u0026rsquo;s Top Workplaces \u003c/a\u003e\u003c/li\u003e
\u003cli\u003e\u003ca href=\u0022https://topworkplaces.com/october-2021-awards-reveal/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eTop Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility\u003c/a\u003e\u003c/li\u003e
\u003cli\u003e\u003ca href=\u0022https://www.wpshealthsolutions.com/careers/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eAchievers 50 Most Engaged Workplaces\u0026reg; with the further honor of Achievers \u0026ldquo;Elite 8\u0026rdquo; winner in the category of Culture Alignment \u003c/a\u003e\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eRole Snapshot \u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eAnswer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding eligibility, benefit determinations, and claims adjudication questions or problems. Establish and maintain rapport with contacts and present a favorable corporate image while responding to inquiries within time frames required to exceed contractual standards.\u003c/p\u003e
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\u003cli\u003eReceive telephone, written, fax, and e-mail inquiries concerning eligibility, benefits determinations, and claims adjudication questions or billing problems.\u003c/li\u003e
\u003cli\u003eApply appropriate provisions of regulations, interpretations, and procedural directives in making determinations on eligibility and benefits to determine appropriate responses to inquiries.\u003c/li\u003e
\u003cli\u003eObtain and analyze claims data to determine specific problem area including external communication to obtain data.\u003c/li\u003e
\u003cli\u003eComplete research and provide final resolution to inquiries within contractual requirements.\u003c/li\u003e
\u003cli\u003eCommunicate with inquirer to determine appropriate authorization or referral of services.\u003c/li\u003e
\u003cli\u003eSubmit claims for adjudication, correction, payment, or review as appropriate.\u003c/li\u003e
\u003cli\u003eEducate providers on billing requirements to reduce claim problems.\u003c/li\u003e
\u003cli\u003eDeal tactfully with people in a wide variety of situations to convey a favorable corporate image.\u003c/li\u003e
\u003cli\u003eRespond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards.\u003c/li\u003e
\u003cli\u003eCollect and record data for Customer Service records and computer analysis.\u003c/li\u003e
\u003cli\u003eInform supervisory staff of system problems when identified, researching problems to provide backup data and examples when needed.\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eHow do I know this opportunity is right for me?\u0026nbsp; If you: \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eExcel at providing timely, accurate answers via telephone by employing strong listening skills\u003c/li\u003e
\u003cli\u003eEnjoy new challenges and approach each day with a positive attitude\u003c/li\u003e
\u003cli\u003eDemonstrate a strong work ethic with a history of dependability and respect\u003c/li\u003e
\u003cli\u003eThrive in an environment that offers opportunities for continuous learning\u003c/li\u003e
\u003cli\u003e\u0026ldquo;You communicate with confidence, clarity, and sound reasoning when discussing concerns, ideas, and suggestions with all levels of staff and management.\u0026rdquo;\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eWhat will I gain from this role?\u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eHaving the ability to work remotely from home\u003c/li\u003e
\u003cli\u003eBuilding in-depth communication and customer service skills\u003c/li\u003e
\u003cli\u003eBeing a part of a fun, supportive team that offers great advancement opportunities throughout the organization\u003c/li\u003e
\u003cli\u003eWorking in an environment that serves our Nation\u0026rsquo;s military, veterans, Guard and Reserves along with their families\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eMinimum Qualifications \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eU.S. citizenship is required for this position due to Department of Defense restrictions.\u003c/li\u003e
\u003cli\u003eHigh School Diploma or Equivalent\u003c/li\u003e
\u003cli\u003e2 or more years of experience in customer service\u003c/li\u003e
\u003cli\u003eCOVID-19 vaccination or WPS approval for an accommodation.\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003ePreferred Qualifications \u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eAbility to learn medical and insurance terminology\u003c/li\u003e
\u003cli\u003eMicrosoft Office Experience\u003c/li\u003e
\u003cli\u003eAbility to navigate dual monitor screens and between multiple programs at once\u003c/li\u003e
\u003cli\u003eStrong skillsets in multi-tasking, research, and problem-solving\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eAdditional Information\u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003e\u003cstrong\u003eStart Date: \u003c/strong\u003eMonday, April 11th, 2022\u003c/li\u003e
\u003cli\u003e\u003cstrong\u003eTraining Schedule: \u003c/strong\u003eFirst 3-4 weeks Monday- Friday 8:00-4:35pm CST. (Mandatory Schedule)\u003c/li\u003e
\u003cli\u003e\u003cstrong\u003eScheduled Shift:\u003c/strong\u003e Monday- Friday shift will be based on business need. 7:00-3:35, 11:00-7:30pm, or 7:00-3:30am
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\u003cli\u003eIf selected for the overnight schedule, a .70cent/hr shift differential will be applied to your salary\u003c/li\u003e
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\u003cli\u003e\u003cstrong\u003eWork from Home: \u003c/strong\u003e100% Remote opportunity for all approved remote worker states. This is a non-exempt, non-bargaining unit position.\u003c/li\u003e
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\u003cp\u003e\u003cstrong\u003eNext steps\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eAfter submitting your application, we will send you an online assessment. We recommend you try and complete it within two business days. You must complete and obtain a passing score on the assessment to be considered for the position.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eBenefits\u003c/strong\u003e\u003c/p\u003e
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\u003cli\u003eRemote and hybrid work options available\u003c/li\u003e
\u003cli\u003ePerformance bonus and/or merit increase opportunities\u003c/li\u003e
\u003cli\u003e401(k) with \u003cstrong\u003edollar-per-dollar match up to 6% of salary \u003c/strong\u003e(100% vested immediately)\u003c/li\u003e
\u003cli\u003eCompetitive paid time off\u003c/li\u003e
\u003cli\u003eHealth, dental insurance, Teladoc starts \u003cstrong\u003eDAY 1\u003c/strong\u003e\u003c/li\u003e
\u003cli\u003eReview additional benefits \u003ca href=\u0022https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003ehere\u003c/a\u003e\u003c/li\u003e
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\u003cp\u003e\u003ca href=\u0022http://recruiting2.ultipro.com/WIS1003/JobBoard/e6da0c90-f987-63dc-99a9-fb8c9014f57e/Account/Register?cancelUrl=https://recruiting2.ultipro.com/WIS1003/JobBoard/e6da0c90-f987-63dc-99a9-fb8c9014f57e/?q=WPS&o=relevance\u0026amp;redirectUrl=/WIS1003/JobBoard/e6da0c90-f987-63dc-99a9-fb8c9014f57e/JobSearchAgent\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003e\u003cstrong\u003eSign up for \u003c/strong\u003e\u003cstrong\u003eJob Alerts\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eFOLLOW US!\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u003ca href=\u0022https://www.linkedin.com/company/wps-health-solutions/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eLinkedIn\u003c/a\u003e\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u003ca href=\u0022https://www.facebook.com/WPSHealthSolutions/\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eFacebook\u003c/a\u003e\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003e\u003ca href=\u0022https://twitter.com/WPS_HS\u0022 target=\u0022_blank\u0022 rel=\u0022noopener\u0022\u003eTwitter\u003c/a\u003e\u003c/strong\u003e\u003c/p\u003e,EqualOpportunityEmployerDescription:Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities,PayTransparencyPolicyStatement:The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c),MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:true,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[],LicenseAndCertificationCriteria:[],SkillCriteria:[],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:cdefa8ae-f907-5c13-2775-f0106d0aa34a,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2022-03-10T14:57:37.027Z},{JobBoardId:e6da0c90-f987-63dc-99a9-fb8c9014f57e,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2022-03-10T14:57:37.027Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null,CompensationAnnualMinimum:null,CompensationAnnualMaximum:null,CompensationHourlyMinimum:null,CompensationHourlyMaximum:null,CompensationCurrency:null});

Company info

Wisconsin Physicians Service Insurance Corporation
Website : http://www.wpsic.com