Customer Care Specialist Pay is 15.78/hr Start Date-Sept 27th Must be located within 45 miles of Madison WI WPS campus

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u003cpu003eu003cstrongu003eRole Summaryu003c/strongu003eu003c/pu003enu003cpu003eAnswer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eReceive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.u003c/liu003enu003cliu003eApply appropriate provisions of TRICARE regulations, interpretations, and procedural directives in making determinations on eligibility and benefits to determine appropriate responses to inquiries.u003c/liu003enu003cliu003eObtain and analyze claims data to determine specific problem area including external communication to obtain data.u003c/liu003enu003cliu003eComplete research and provide final resolution to inquiries within contractual requirements.u003c/liu003enu003cliu003eCommunicate with inquirer to determine appropriate authorization or referral of services.u003c/liu003enu003cliu003eSubmit claims for adjudication, correction, payment, or review as appropriate.u003c/liu003enu003cliu003eEducate providers on billing requirements of TRICARE to reduce claim problems.u003c/liu003enu003cliu003eDeal tactfully with people in a wide variety of situations to convey a favorable corporate image.u003c/liu003enu003cliu003eRespond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards.u003c/liu003enu003cliu003eCollect and record data for Customer Service records and computer analysis.u003c/liu003enu003cliu003eInform supervisory staff of system problems when identified, researching problems to provide backup data and examples when needed.u003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eThis role could be a good fit if you:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eExcel at providing timely, accurate answers via telephone by employing strong listening skillsu003c/liu003enu003cliu003eEnjoy new challenges and approach each day with a positive attitudeu003c/liu003enu003cliu003eDemonstrate a strong work ethic with a history of dependability and respectu003c/liu003enu003cliu003ePossess excellent information retention capabilitiesu003c/liu003enu003cliu003eThrive in an environment that offers opportunities for continuous learningu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eYouu0026rsquo;ll benefit from this experience by:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eGaining experience working in a call center environmentu003c/liu003enu003cliu003eHaving the ability to work remotely from homeu003c/liu003enu003cliu003eBuilding in-depth communication and customer service skillsu003c/liu003enu003cliu003eBeing part of a fun, supportive team that offers great advancement opportunities throughout the organizationu003c/liu003enu003cliu003eWorking in an environment that serves our Nationu0026rsquo;s military, veterans, Guard and Reserves along with their familiesu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eYou need to have: u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eU.S. citizenship is required for this position due to Department of Defense restrictionsu003c/liu003enu003cliu003eHigh school diploma or equivalentu003c/liu003enu003cliu003e2 or more years of experience in customer serviceu003c/liu003enu003cliu003eAbility to learn medical and insurance terminologyu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eWe also prefer:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eMicrosoft Office Experienceu003c/liu003enu003cliu003eAbility to navigate dual monitor screens and between multiple programs at onceu003c/liu003enu003cliu003eStrong skillsets in multi-tasking, research, and problem-solvingu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eNext steps:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eu003cstrongu003eu003cemu003eAfter submitting your application, we will send you an online assessment. We recommend you complete it within 1-2 business days. You must complete and obtain a passing score on the assessment to be considered for the position. u003c/emu003eu003c/strongu003eu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eAdditional Information:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eu003cstrongu003eStart Date:u003c/strongu003e Monday, September 27, 2021u003c/liu003enu003cliu003eu003cstrongu003eStarting Base Salaryu003c/strongu003e: $15.78/hru003c/liu003enu003cliu003eu003cstrongu003eTraining Schedule: u003c/strongu003e8:25am-5:00pm CST Monday-Friday until late Decemberu003c/liu003enu003cliu003eu003cstrongu003eScheduled Shift:u003c/strongu003e Starting December 20u003csupu003ethu003c/supu003e, schedule will be determined by shift bids for 8- hour shifts ending between 6-10 pm CST, Monday-Fridayu003c/liu003enu003cliu003eu003cstrongu003eWork from Home:u003c/strongu003e 100% remote, including training, must reside within a 45-mile radius of Madison, WI WPS campus (remote status based on continued satisfactory work performance). This is a bargaining unit position.u003c/liu003enu003cliu003eFor remote position, employee is required to meet remote worker requirements, including a designated work station, a wired (Ethernet) connection to the network, and a minimum of 10Mbps downstream connection with at least 1Mbps upstream (can be checked at ****and Benefitsu003c/strongu003eu003c/pu003enu003culu003enu003cliu003eEligible for annual merit-based increasesu003c/liu003enu003cliu003e401(k) with u003cstrongu003edollar-per-dollar match up to 6% of salaryu003c/strongu003eu003c/liu003enu003cliu003eCompetitive paid time offu003c/liu003enu003cliu003eHealth and dental insurance start u003cstrongu003eDAY 1u003c/strongu003eu003c/liu003enu003cliu003eVision insuranceu003c/liu003enu003cliu003eFlexible spending, dependent care, and health savings accountsu003c/liu003enu003cliu003eShort- and long-term disability, group life insuranceu003c/liu003enu003cliu003eInnovative professional and cognitive development programsu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eWPS Health Solutions is an innovator in health insurance and a worldwide leader in claims administration, serving millions of beneficiaries in the United States and abroad.u003c/pu003enu003cpu003eFounded in 1946, WPS offers health insurance plans for individuals, families, and seniors, and group plans for small and large businesses. We are a world-class claims processor and program administrator for the governmentu0026rsquo;s Medicare program. And we manage benefits for millions of active-duty and retired military personnel and their families.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eLearn more about WPSu003c/strongu003eu003c/au003eu003cstrongu003e. u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eOur Purpose and Valuesu003c/strongu003eu003c/pu003enu003cpu003eOur purpose is to make healthcare easier for those we serve. u003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eClick Hereu003c/strongu003eu003c/au003eu003c/pu003enu003cpu003eOur values u0026ndash; Customer Focused, Individual Responsibility, Mutual Respect, and Driven u0026amp; Passionate u0026ndash; are the core of who we are and how we conduct business every day.u003c/pu003enu003cpu003eu003cstrongu003eWPS Health Insuranceu003c/strongu003eu003c/pu003enu003cpu003eWPS Health Insurance offers high-quality health insurance plans for individuals and families, Medicare supplement plans for seniors, and group health plans for businesses of every size.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****and Veterans Healthu003c/strongu003eu003c/pu003enu003cpu003eWPS Military and Veterans Health administers claims and provides customer service and related activities for the U.S. Department of Defense and the U.S. Department of Veterans Affairs and their beneficiaries.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****Health Administrators u003c/strongu003eu003c/pu003enu003cpu003eWPS Government Health Administrators manages Medicare Part A and Part B benefits for more than 7 million beneficiaries. As one of the largest contractors for the Centers for Medicare u0026amp; Medicare Services, weu0026rsquo;ve served Medicare beneficiaries and their health care providers since 1966.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****Health Planu003c/strongu003eu003c/pu003enu003cpu003eWPS Health Plan offers Health Maintenance Organization and Point-of-Service plans to the group and individual markets in eastern and north-central Wisconsin, plus third-party administrator services.u003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****Specialty Benefitsu003c/strongu003eu003c/pu003enu003cpu003eEPIC Specialty Benefits provides businesses group insurance products that cover:u003c/pu003enu003culu003enu003cliu003eLifeu003c/liu003enu003cliu003eDisabilityu003c/liu003enu003cliu003eDentalu003c/liu003enu003cliu003eVisionu003c/liu003enu003cliu003eVoluntary benefitsu003c/liu003enu003c/ulu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003****connected:u0026nbsp;u003c/strongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eSign up for Job Alertsu003c/strongu003eu003c/au003eu003c/pu003enu003cpu003eu003cstrongu003eFOLLOW US!u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eFacebooku003c/au003eu003c/strongu003eu003c/pu003e,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:false,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:2021-07-29T18:14:57.272Z},{JobBoardId:e6da0c90-f987-63dc-99a9-fb8c9014f57e,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2021-07-29T18:14:57.272Z,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});

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