Customer Service Representative - Healthcare

Maximus; Winchester (KY); On-site; USD 1,705,000 - 2,428,000; Full time

Job summary

Maximus is seeking an on-site Customer Service Associate in Winchester, Kentucky. The role handles basic and routine inquiries via phone, email, chat, and letters, using a computerized system to track information and resolve issues.

You will provide timely, courteous responses based on predefined scripts and adhere to privacy and SOP requirements. The position requires a high school diploma or equivalent with at least 6 months of customer service experience, strong English skills, and the

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.
• Regular and predictable attendance required.
• On-site work at Winchester, KY; remote not available for this role until after 1 year of employment which is at company discretion.

Responsibilities

• Provides customer service for basic and routine inquiries via multiple channels (telephone, emails, web chats, letters).
• Uses computerized system for tracking, information gathering, and troubleshooting.
• Provide timely responses to inquiries in a courteous and professional manner with pre-scripted responses.
• Follow policies and SOPs including timesheets and privacy rules.
• Assist callers with filling out online applications and submitting for processing.

Skills

Customer service

English proficiency

Team player

Time management

Multitasking

Education

High School diploma or equivalent

Job description

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 responsesFollow policies and standard operating procedures such as filling out timesheets, adhering to privacy and HIPAA rulesUtilize standard technology such as telephone, e-mail, and web browser to perform job dutiesAssist caller(s) with filling out online applications and submitting electronically to plan provider for processingComplete basic call log related to the phone inquiries such as clicking radio buttons to confirm which scripts were read to the callerRefer calls as required to CSR LeadMaintain up-to-date knowledge of client regulations and policiesReport problems that occur via the online system so they can be addressed by the appropriate partiesMinimum RequirementsHigh 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 timesMust have excellent interpersonal skills and the ability to organize simultaneous tasksAbility to work as a member of a teamRegular and predictable attendance is requiredMust 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. 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.#CCOWinchester #maxCCOWinchester #maxPriorityEEO StatementMaximus 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 TransparencyFor 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.AccommodationsMaximus 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] .Minimum Salary$15.00Maximum Salary$15.00