Medicare Customer Service Rep

WPS Health Solutions • Madison, WI • 6h ago

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. Preference will be given to
those that have Medicare and call center experience. Additional
Information Start Date: 8/25/26 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... 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/BBF584469A0B488C Qualified females, minorities, and special
disabled veterans and other veterans are encouraged to apply.

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Project Manager, Industry Services

Cardinal Health • Madison, WI • 13h ago

Management & Administrative

Specialty Networks is an integrated, multi-specialty organization with GPOs, Life Sciences, and Research solutions in Urology, Oncology, Gastroenterology, and Rheumatology. Specialty Networks solutions include population...

13h ago

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Academic Advising Manager

UW-MADISON • Madison, WI • 14h ago

Management & Administrative

JOB REQUIREMENTS: Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category:Academic Staff Employment Type...

14h ago

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Senior Marketing Manager

Eliassen Group • Madison, WI • 14h ago

Management & Administrative

Senior Marketing Manager Anywhere Type: Contract Category: Marketing Industry: Financial Services Workplace Type: Remote Reference ID: JN -072026-107720 Date Posted: 07/01/2026 Shortcut: http://careers.eliassen.com/IYqcY...

14h ago

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Consultant, Business Analyst

Cardinal Health • Madison, WI • 1d ago

Management & Administrative

What Business Analysis contributes to Cardinal Health Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delive...

1d ago

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National Account Manager - Outdoor, Independent Farm

Stanley Black and Decker • Madison, WI • 1d ago

Management & Administrative

National Account Manager - Outdoor, Independent Farm Field Based in Illinois and Wisconsin Come build your career. It takes great people to achieve greatness. People with a sense of purpose and integrity. People with a r...

1d ago

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