A Healthcare Customer Service Representative responds to customer inquiries about healthcare and provides information about healthcare plans, providers, policies and coverage. Assists customers with questions about healthcare insurance and premiums. Keeps records of customer communications and transactions.
24/7 center; the targeted start date, hours, and schedule are discussed with recruiter Evening and night shifts are highly desirable with a 10% shift differential for hours worked between 7 p.m. and 5 a.m. Make a Difference by Helping People Navigate Healthcare with Confidence Are you passionate about helping others? Maximus is hiring Customer Service Representatives (CSRs) to provide compassionate, reliable support to individuals navigating healthcare programs. If you're dedicated, service-minded, and ready to grow, we want you on our team. You'll assist some of the most vulnerable members of our community, helping them understand and access complex healthcare benefits. Maximus offers paid, thorough training to prepare you for success.
Pay & Benefits:
We provide a competitive package designed to support your success both inside and outside work:
Competitive Compensation:
$17.42/hr base pay + 10% shift differential. Potential to earn additional bonus incentives for eligible employees increasing overall compensation
Comprehensive Insurance Coverage:
Company-paid medical coverage
Tuition Reimbursement:
Support for ongoing education and development
Future Planning:
401(k) with company match
Paid Time Off Package:
Paid time off, sick leave & 11 paid holidays
Maximus Wellness Support:
Employee Assistance Program (EAP), wellness resources, and employee discount programs
Work/Life Balance Support:
Flexible schedules that meet your lifestyle
Career Growth:
A supportive environment with development and promotional opportunities Meaningful Work with
Impact:
No cold calls, sales, or collections involved! •Eligibility requirements apply, ask your recruiter for more details
Essential Duties and 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
Minimum 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 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 later to complete your Tier I am 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. 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.
