Customer Service Representative – Healthcare

Maximus•Chester, VA
•Onsite

About The Position

Maximus is seeking Customer Service Representatives (CSRs) to assist consumers navigating complex healthcare plans. The company provides paid, comprehensive training to equip CSRs with knowledge and professionalism. This role involves helping America's most vulnerable communities through customer care and scheduling. No cold calling, sales, or collection calls are required.

Requirements

  • High School diploma or equivalent with 6 months of customer service experience.
  • Must be able to speak and read English clearly, professionally and fluently.
  • Ability to work within established turnaround times.
  • Must have excellent interpersonal skills and the ability to organize simultaneous tasks.
  • Ability to work as a member of a team.
  • Regular and predictable attendance is required.
  • Must participate and certify in internal CCO training to begin this role.
  • Medicare will be expected to participate in and certify in internal Tier I Claims Part A, Claims Part B, and Claims DME training at a later date to complete your Tier I training for this role.
  • May be required to work overtime and scheduled holidays.
  • Working on-site at our office location is a key requirement for this position. Being physically present at the worksite is essential for effective collaboration, communication, and supervision. Applicants must be able to perform their duties on-site and meet attendance requirements.

Nice To Haves

  • Night shifts are highly desirable!

Responsibilities

  • Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
  • Calls are basic and routine.
  • Uses computerized system for tracking, information gathering, and/or troubleshooting.
  • Provides feedback when needed, provide input on call trends, processes, procedures, and training.
  • May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.
  • Provide timely responses to telephone inquiries in a courteous and professional manner, using pre-scripted responses.
  • Follow policies and standard operating procedures such as filling out timesheets, adhering to privacy and HIPAA rules.
  • Utilize standard technology such as telephone, e-mail, and web browser to perform job duties.
  • Assist caller(s) with filling out online applications and submitting electronically to plan provider for processing.
  • Complete basic call log related to the phone inquiries such as clicking radio buttons to confirm which scripts were read to the caller.
  • Refer calls as required to CSR Lead.
  • Maintain up-to-date knowledge of client regulations and policies.
  • Report problems that occur via the online system so they can be addressed by the appropriate parties.

Benefits

  • Flexible schedules that meet your lifestyle!
  • $16.75/hr. + 10% shift differential for evening shifts
  • Potential bonus opportunities up to $3,200 are available for eligible new hires based on role, location, hire date, attendance, hours worked, and continued employment through the required retention period.
  • Enjoy various on-site food vendors, monthly employee engagement activities, and a short commute to multiple fast-food chains for added convenience
  • Company paid, base employee Medical Coverage
  • Paid accrued Sick Leave, PTO, and 11 paid holidays
  • 401k with company match
  • A supportive environment with career development and promotional opportunities
  • Employee Assistance Program (EAP), Employee Wellness, and Discount Programs
  • No cold calling, sales, or collection calls required!
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