Customer Service Representative II - Lake George, NY

Maximus

114d•$18 - $21•Onsite

About The Position

Maximus is seeking a Customer Service Representative II to join their team in Lake George, NY. This role involves assisting New York Medicaid recipients with navigating healthcare options, accessing services, and making informed decisions about their coverage. The representative will provide both face-to-face and telephone support, guiding individuals through enrollment, explaining managed care plans, and delivering compassionate, people-centered service. The goal is to ensure members have the necessary information and support to make informed healthcare decisions. This opportunity is suitable for individuals who enjoy helping others and making a community impact. Maximus provides training and support, including maintaining Certified Application Counselor (CAC) certification.

Requirements

High school diploma or GED required and 6+ months of relevant professional experience required, or equivalent combination of education and experience.
Prior work experience in customer service, data entry and/or data processing.
Experience working with MS office applications (Excel, PowerPoint & Word).
Must be able and willing to travel and provide site coverage as needed.

Nice To Haves

Some college or college degree.
Experience with New York Medicaid.
2+ years of experience in customer service or related position.
Follows established guidelines and directions while maintaining a proactive approach to meeting objectives and deadlines.
Effectively manages multiple tasks and priorities under pressure, ensuring high-quality outcomes in a fast-paced environment.

Responsibilities

Engage in outreach activities (phone calls, home visits, and community presentations) according to project protocols.
Deliver individual and group outreach presentations to recipients and community members.
Educate recipients about program offerings and enrollment options.
Introduce managed care choices to recipients and aid in navigating health care and dental plans.
Cultivate positive relationships with county staff, state agencies, community groups, and recipients.
Input data directly into specified internal automated systems following project policies.
Develop and sustain familiarity with the community, actively participating in local events, health fairs, and related activities as required.
Support fellow team members in managing and completing daily tasks.
Conduct face-to-face and/or virtual (telephonic) outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices.
Assist clients with the enrollment/transfer/disenrollment process.
Interface and maintain professional and positive relationships with HRA/LDSS county staff and clients.
Assist Call Center Operations and other departments as determined by project management to meet business needs.
Regular member of a processing unit within the Outreach department: EEU, Data Entry, Manual Notices.
Conduct shadowing / training activities with new hires.
Works in assigned special projects.
Maintain Certified Application Counselor CAC active certification.
Conduct Certified Application Counselor (CAC) tasks in select counties.
Maintain updated knowledge of the New York Medicaid Choice Project.
Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
Perform other duties as assigned by Management.