Customer Service Representative – Healthcare

Maximus•Winchester, KY

3d•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 vulnerable community members understand and access healthcare benefits. The position is full-time and on-site in Winchester, KY.

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

Remote or at-home work options are not available for this role until completion of at least one year of employment with above-average performance, based on specified program criteria and at the company's discretion.

Responsibilities

Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
Uses computerized system for tracking, information gathering, and/or troubleshooting.
Provides feedback 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.