Customer Service Rep Pay is Position

WPS Health Solutions • Madison, WI • 2h ago

JOB REQUIREMENTS: Description U.S. citizenship is required for this
position due to Department of Defense restrictionsBargaining Unit
position - Must live within 45 miles of WPS Headquarters (1717 W.
Broadway in Madison, WI, 53713) We are seeking talented Customer Service
Reps / Customer Care Specialists to join our team! The successful
candidate will play a critical role in providing call center telephone
support, as well as responses to written inquiries submitted by,
military members, retirees, and dependents eligible for both TRICARE and
Medicare benefits. In addition, this role is responsible for assisting
with claims and billing inquiries from hospitals and clinics. Inquiries
can include questions about claims, benefits, and eligibility. Success
is accomplished by navigating multiple systems to research and resolve
complex inquiries with a clear, accurate, and easy to understand
response. This is a Bargaining Unit / Union position. Additional
Information Start Date: 9/22/26 Starting Pay: \$17.75/hour plus a 2nd
Shift differential after training of \$.75/hour. Training
Location/Schedule: Training: First 8 weeks from 8:00am-4:35pm CST
Monday-Friday Scheduled Shift: Once training is completed, this will be
a 2nd Shift role - 10:25am - 7:00pm CST Potential on-site training to be
determined. All Onsite training will take place at the WPS Corporate
Center Building (1717 W. Broadway) in Madison, WI Work Location: Once
training is complete you may have the option to work remote or onsite.
Please note that the assigned office for this position is in Madison, WI
and remote employees may be required to work at this location at times.
In this role you will: Receive telephone, written, fax, and e-mail
inquiries concerning TRICARE eligibility, benefits determinations, and
claims adjudication questions or billing problems. Apply appropriate
provisions of TRICARE regulations, interpretations, and procedural
directives in making determinations on eligibility and benefits to
determine appropriate responses to inquiries. Obtain and analyze claims
data to determine specific problem areas including external
communication to obtain data. Complete research and provide final
resolution to inquiries within contractual requirements. Communicate
with inquirers to determine appropriate authorization or referral of
services. Submit claims for adjudication, correction, payment, or review
as appropriate. Educate providers on billing requirements of TRICARE to
reduce claim problems. Deal tactfully with people in a wide variety of
situations to convey a favorable corporate image. Respond to inquirers
using various forms of communication (written letter, telephone, web, or
email) within time frames to exceed contractual standards. Collect and
record data for Customer Service records... 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/79C6A5E3A700495F Qualified females, minorities, and
special disabled veterans and other veterans are encouraged to apply.

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