Customer Service Advocate, Level I
Ampcus · Centralia, WA
Job description
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Customer Service Advocate, Level I. Location: Baltimore, MD. Job Description: Purpose: • 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, as appropriate, about a variety of health, financial, and self-service programs. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications. Essential Functions: • 45% Provides first-level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures. • 25% Uses knowledge of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents all client interactions according to established departmental procedures. • 15% Delivers accurate information to customers in accordance with performance goals and objectives. • 10% Maintains customer records by updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes. • 5% Participates in ongoing education related to new services, industry topics, and skills. Qualifications: • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. • The requirements listed below are representative of the knowledge, skill, and/or ability required. • Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Preferred Qualifications: Knowledge, Skills and Abilities (KSAs): • Successful completion of the training provided., Proficient. • Demonstrated skills as an empathetic and compassionate communicator., Proficient. • Ability to quickly gain customer trust and confidence., Proficient. • Demonstrated PC navigation and data entry skills., Proficient. • Strong interpersonal communication skills., Proficient. • Good oral and written communication skills., Proficient. Top 5 Required Skills: • Strong Communication Skills: • Clear verbal and written communication is essential for explaining complex Medicare benefits and resolving member concerns. • Associates must be able to simplify jargon, speak with empathy, and maintain professionalism across diverse populations. • Technical Proficiency: • Comfort with CRM systems, call center software, and Medicare databases is vital. • Associates should be able to navigate multiple systems simultaneously, enter data quickly, and troubleshoot basic tech issues. • Emotional Intelligence and Patience: • Medicare members may be elderly, frustrated, or confused. Associates need active listening skills, patience, and the ability to stay calm under pressure. • Building trust and rapport is key to member satisfaction and retention. • Attention to Detail: • Call center reps must accurately document member interactions, verify personal and plan information, and follow compliance protocols. • Mistakes can lead to coverage issues or HIPAA violations, so precision is non-negotiable. • Knowledge of Medicare Guidelines: • A solid understanding of Medicare Parts A, B, C, and D, eligibility, enrollment periods, and coverage rules is critical. • Associates often handle policy-specific questions, so familiarity with CMS regulations and plan structures helps ensure accurate support. Education Level: • High School Diploma or GED. Experience: • Less than one year's customer service experience. Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.
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Licensed Psychiatric Mental Health Nurse Practitioner
Headway · Centralia, WA
" Licensed Psychiatric Nurse Practitioner Wage: Up to $206.36/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden. It's all on one free-to-use platform, no commitment required. About the role This position is for licensed psychiatric nurse practitioners looking to start or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and let you focus on what matters most - your patients. About you • You're a fully licensed psychiatric nurse practitioner with your DEA or CDS number, ANCC or AANP board certification, a valid NPI number and malpractice insurance. • You're looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment. Why partner with Headway? As an independent provider with Headway, you'll gain access to: • Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days. • Increased earnings: Secure competitive rates with top insurance plans through our nationwide network. • Predictable bi-weekly payments: Receive reliable payouts directly from Headway. • Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more. • Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations. • Free continuing education: Earn CEUs and expand your expertise through Headway Academy. How Headway supports your patients • Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. • Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Important Notes • This is a 1099 independent contractor role. You'll have full autonomy over your practice, including setting your hours and managing your caseload. • At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation's largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We'll take care of the rest.
Remote Service Representative
Medix · Centralia, WA
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Nurse Specialist - Patient Support Programs
Atlantis Health · Centralia, WA
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