Customer Service Representative – Healthcare

Maximus; Winchester (KY); On-site; USD 17,000 - 24,000; Full time

Benefits offered by this job

Company-paid medical coverage

Tuition reimbursement

401(k) with company match

Paid time off

Job summary

Maximus is seeking Customer Service Representatives to support users navigating healthcare plans. This on-site role in Winchester, KY offers paid training, a starting wage of $15.00 per hour with a 10% shift differential, and opportunities for bonus incentives.

Schedule is full-time, Monday–Friday, with comprehensive benefits and 401(k) planning. Training prepares you for success in helping vulnerable customers.

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.
• Working on-site at our office location is a key requirement for this position.

Responsibilities

• Provides customer service for basic and routine inquiries and problems via multiple channels (telephone, emails, web chats, or letters).
• Calls are basic and routine.
• 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 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 rules.
• Utilize standard technology such as telephone, e-mail, and web browser to perform job duties.
• Assist callers with filling out online applications and submitting electronically to plan provider for processing.
• Refer calls as required to CSR Lead.
• Maintain up-to-date knowledge of client regulations and policies.
• Report problems via the online system so they can be addressed.

Skills

Customer service

English fluency

Teamwork

Attendance

HIPAA policies

Education

High School diploma or equivalent

Tools

Telephone

Email

Web browser

Job description

Location: On-site in Winchester, KY

Starting Pay: $15.00/hr. plus potential bonus opportunities

Schedule: Limited-Service Full-Time positions available

Site Hours: Monday - Friday, 9 a.m. - 6 p.m.; the targeted start date, hours, and schedule are discussed with recruiter

Make a Difference by Helping People Navigate Healthcare with Confidence

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.

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

• Competitive Compensation:
• $15.00/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, and 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,

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
• 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. 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 #maxPriority

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] .

Minimum Salary

$

15.00

Maximum Salary

$

15.00