Work From Home: Remote Member & Provider Service Representative Roles with Full Training and Wide State Availability

by Brian Robinson Nov. 18, 2025

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WellSense Health Plan, a nonprofit health insurance company, has posted a Remote Member & Provider Service Representatives openings to their careers page.

In this role, you would assist members, providers, and internal teams by answering questions, resolving issues, and delivering empathetic support across a variety of health plan topics.

Applicants should have prior customer-facing experience, strong communication and organizational skills, the ability to manage a high volume of calls, and the capacity to work effectively from a secure home workspace.

The posted pay rate is $19.50 per hour.

The company is hiring from AL, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, ME, MD, MA, MI, MN, MO, NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, RI, SC, TN, TX, UT, VT, VA, WA, WV, WI.

WellSense offers a comprehensive benefits package, generous paid time off, career development programs, internal mobility opportunities, bonuses, and a paid 12-week training period.

Following are details excerpted from the Remote Member & Provider Service Representative job posting:

According to the company, you will serve as the first line of support by providing accurate information to current and prospective members, providers, and internal customers. The role plays a key part in member retention and offers strong opportunities for growth within the organization.

Job Responsibilities

Respond to a high volume of inbound calls with professionalism, empathy, and accuracy
Use available resources to interpret and resolve inquiries
Document all interactions according to departmental standards
Apply strong interpersonal and conflict-resolution skills to challenging calls
Collaborate with peers and cross-functional teams to resolve issues
Meet or exceed goals for quality, productivity, customer satisfaction, and compliance
Assist with additional duties as needed to support the department

Requirements

High school diploma or equivalent; bachelor’s degree preferred
Prior professional, customer-facing work experience
At least three consecutive years in a previous role preferred
Strong customer service, communication, and organizational skills
Ability to prioritize tasks and make sound decisions based on guidelines
Working knowledge of Microsoft Office
Ability to work from a quiet, secure home workspace with high-speed internet
Successful completion of a 60–90 minute competency assessment (must be done on desktop or laptop)
Outstanding professional references
Ability to pass a background check
Reliable attendance and willingness to work overtime during peak periods
Bilingual skills (Spanish, Portuguese, Haitian Creole, etc.) are highly desirable

Compensation & Benefits

Hourly pay starting at $19.50
Annual Commitment to Service bonus (program requirements apply)
Career Progression program with potential for early promotions and pay increases
Paid 12-week training program and ongoing coaching
Comprehensive benefits including medical, dental, vision, pharmacy, 403(b) match, FSAs, and generous PTO
Access to professional development resources and employee engagement groups

HOW TO APPLY

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CLICK HERE for full details and to apply for this Remote Member & Provider Service Representative position. For more jobs like this, check our Newest Jobs & Gigs page. To be the first to hear about jobs like these, join our free Telegram channel. Good luck as you make your work from home plans a reality!