[Hiring] Customer Service Advocate, Level I @Ampcus Inc.

Role Description

Responsible for answering members, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment.

• Proactively provides information and education to members, providers & brokers about a variety of health, financial, and self-service programs.
• Provides basic technical assistance and troubleshooting guidance for digital and electronic applications.

Qualifications

• Strong Communication Skills: Clear verbal and written communication is essential for explaining complex Medicare benefits and resolving member concerns.
• Technical Proficiency: Comfort with CRM systems, call center software, and Medicare databases is vital.
• Emotional Intelligence and Patience: Active listening skills, patience, and the ability to stay calm under pressure are essential.
• Attention to Detail: Accurately document member interactions and follow compliance protocols.
• Knowledge of Medicare Guidelines: A solid understanding of Medicare Parts A, B, C, and D, eligibility, enrollment periods, and coverage rules is critical.

Requirements

• 45% Provides first-level problem resolution to member, provider & broker inquiries via telephone.
• 25% Uses knowledge of products and contractual provisions to provide customer service and education.
• 15% Delivers accurate information to customers in accordance with performance goals and objectives.
• 10% Maintains customer records by updating account information.
• 5% Participates in ongoing education related to new services, industry topics, and skills.

Benefits

• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Company Description

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services.