Customer Service Representative – Healthcare

Maximus; United States; Remote; USD 21,000 - 29,000; Full time

Job summary

Maximus is hiring Customer Service Representatives to provide compassionate, reliable support to individuals navigating healthcare programs. This remote role offers a starting pay of $18.22 per hour, with an additional 10% shift differential for evenings and nights. Training is provided to prepare you for success and potential career growth within a 24/7 center environment.

Eligible new hires may receive up to $2,880 in bonus opportunities. Overtime and holidays may be required.

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.
• 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 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 effective collaboration, communication, and supervision. 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.

Responsibilities

• Provides customer service for basic and routine inquiries and problems via multiple channels (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, 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.
• 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.
• 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

Skills

Customer service

Education

High School diploma or equivalent

Job description

Remote

Starting Pay: $18.22/hr. plus up to $2,880 in bonus opportunities for eligible new hires*

Schedule: Limited-Service Full-Time positions available

Site Hours: 24/7 center; the targeted start date, hours, and schedule are discussed with recruiter

Evening and night shifts have 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 youpassionate about helping others? Maximus is hiringCustomer 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:
  • $18.22/hrbase pay + 10% shift differential
  • Potential bonus opportunities are up to $2,880 are available for eligible new hires based on role, location, hire date, attendance, hours worked, and continued employment through the required retention period.*
• 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. 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.
• Providetimelyresponses 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
• Assistcaller(s) with filling out online applications andsubmittingelectronically 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 asrequiredto 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 theappropriate 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.