Customer Service Representative – Healthcare

Maximus; Chester (VA); Hybrid; USD 34,000 - 42,000; Full time

Benefits offered by this job

On-site food vendors

Medical coverage

PTO and holidays

401k with company match

Career growth

Wellness programs

EAP

Job summary

Maximus is seeking a Customer Service Representative – Healthcare to join our on-site team in Chester, VA. You will help consumers navigate healthcare plans, with paid training and opportunities for advancement. This role offers competitive pay, a new hire bonus, and evening shift differential. Hours are site-based with a 7 p.m.

to 10 p.m. differential; day and weekend shifts also available. The position emphasizes HIPAA compliance, teamwork, and reliability, with a focus on compassionate,

Qualifications

• 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, Part B, and DME training at a later date.
• Applicants must be able to perform duties on-site and on-site work is required.

Responsibilities

• Provides customer service for basic and routine inquiries and problems via multiple channels (phone, email, web chat, or letters).
• Calls are basic and routine.
• Uses computerized system for tracking, information gathering, and troubleshooting.
• Provides feedback and input on call trends, processes, procedures, and training.
• May respond to inquiries by referring to published materials or more senior staff.
• Provide timely responses to telephone inquiries in a courteous and professional manner, using pre-scripted responses
• Follow policies and SOPs such as timesheets and HIPAA compliance
• Assist caller with filling out online applications and submitting to plan provider
• Complete basic call logs showing scripts read to caller
• Refer calls to CSR Lead as needed
• Maintain up-to-date knowledge of client regulations and policies
• Report problems via the online system for resolution

Skills

Customer service

Teamwork

Communication

Attendance

English proficiency

Education

High School Diploma or Equivalent

Job description

Customer Service Representative – Healthcare

Customer Service Representative – Healthcare

Location: On-site in Chester, VA

Hourly Base Pay: $16.75/hr. plus $1,000 new hire bonus and up to $2,200+ in other potential bonuses!*

Site Hours: Monday - Sunday, 8 a.m. - 10 p.m.; the targeted start date, hours, and schedule are discussed with recruiter

Night shifts are highly desirable! We offer a 10% shift differential for any hours worked between 7 p.m. and 10 p.m.

Helping America's Most Vulnerable Communities - Through Customer Care and Scheduling That Works For You!

Maximus is currently seeking Customer Service Representatives (CSRs) to join our team. This position will assist consumers who need help maneuvering through complex healthcare plans. To prepare for this role, Maximus provides paid, comprehensive training that equips our CSRs with the highest levels of knowledge and professionalism.

Pay and Benefits

We provide a competitive package designed to support your success both inside and outside work:

Work/Life Balance Support : Flexible schedules that meet your lifestyle!

Competitive Compensation :

• $ 16.75/h r. + 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.*

Great Location & Workplace Perks : Enjoy various on-site food vendors, monthly employee engagement activities, and a short commute to multiple fast-food chains for added convenience

Comprehensive Insurance Coverage : Company paid, base employee Medical Coverage

Paid Time Off Package : Paid accrued Sick Leave, PTO, and 11 paid holidays

Future Planning : 401k with company match

Career Growth : A supportive environment with career development and promotional opportunities

Maximus Wellness Support : Employee Assistance Program (EAP), Employee Wellness, and Discount Programs

Meaningful Work with Impact : No cold calling, sales, or collection calls required!

*Eligibility requirements apply. Bonus amounts and payout timing may vary.

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
• 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
• 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 duties on-site and meet attendance. 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.

#CCOChester

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.

Accommodations

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at [e-mail].