Customer Service Representative II - Canandaigua, NY

Maximus; Town of Canandaigua (NY); On-site; USD 25,000 - 32,000; Full time

Benefits offered by this job

Comprehensive Insurance Coverage

401K Retirement Savings with Company 9

Paid Time Off (PTO) and Holidays

Employee Discounts and Wellness

Job summary

Maximus is seeking a Customer Service Representative II in Canandaigua, NY. You will help NY Medicaid recipients navigate healthcare options, access services, and make informed coverage decisions. You will support enrollment, explain managed care options, and deliver compassionate, people-centered service.

Role requires communication skills, CAC certification upkeep, and the ability to work face-to-face or via telephone with diverse communities. Training and support are provided.

Qualifications

• High school diploma or GED required; college coursework encouraged.
• Experience in customer service, data entry and MS Office is preferred.
• Maintain CAC certification and knowledge of NY Medicaid programs.

Responsibilities

• Serve as a resource for inquiries via phone, IVR, portals, or outreach.
• Support enrollment cases and follow established resolution procedures.
• Educate customers on program options, eligibility, and services.
• Document interactions and actions in systems accurately.
• Collaborate with internal teams and external partners to resolve issues.
• Maintain confidentiality of information and meet performance standards.
• Provide face-to-face and virtual outreach and enrollment services.

Skills

Customer service

Phone support

Enrollment processes

CAC certification

MS Office

Data entry

Education

High School Diploma or GED

Some college

CAC certification (required)

Tools

MS Office

Job description

Customer Service Representative II - Canandaigua, NY

General information

Date

City

Canandaigua

State

NY

Country

United States

Working time

Full-time

Description & Requirements

Make a Difference in Your Community Every Day!

Maximus is seeking a Customer Service Representative II to join our team in Canandaigua, NY. In this rewarding role, you will help New York Medicaid recipients navigate their healthcare options, access important services, and make informed decisions about their coverage.

As a trusted resource for the community, you will provide both face-to-face and telephone support, guiding individuals through the enrollment process, explaining managed care plan options, and delivering compassionate, people-centered service. By delivering clear, compassionate communication, you will help ensure members have access to the information and support necessary to make informed healthcare decisions. Your ability to communicate will help ensure members receive the support and information they need to access quality healthcare.

This is an excellent opportunity for individuals who enjoy helping others, building relationships, and making a meaningful impact in their community. Whether you are starting your customer service career or bringing prior experience, we provide the training and support needed to succeed, including maintaining your Certified Application Counselor (CAC) certification. Position Details:

Make a Difference in Your Community Every Day!

Maximus is seeking a Customer Service Representative II to join our team in Canandaigua, NY. In this rewarding role, you will help New York Medicaid recipients navigate their healthcare options, access important services, and make informed decisions about their coverage.

As a trusted resource for the community, you will provide both face-to-face and telephone support, guiding individuals through the enrollment process, explaining managed care plan options, and delivering compassionate, people-centered service. By delivering clear, compassionate communication, you will help ensure members have access to the information and support necessary to make informed healthcare decisions. Your ability to communicate will help ensure members receive the support and information they need to access quality healthcare.

This is an excellent opportunity for individuals who enjoy helping others, building relationships, and making a meaningful impact in their community. Whether you are starting your customer service career or bringing prior experience, we provide the training and support needed to succeed, including maintaining your Certified Application Counselor (CAC) certification. Position Details:

• Full-time, onsite position at our office, located at 3050 County Complex Drive, Canandaigua, NY
• Monday – Friday schedule, 8:00 AM – 4:30 PM
• Comprehensive health and wellness benefits

If you are passionate about serving others and seeking a career with purpose, we encourage you to apply today and join a team dedicated to improving the lives of New Yorkers.

Why Maximus?

• Work/Life Balance Support – Flexibility tailored to your needs!
• Competitive Compensation – Bonuses based on performance included!
• Comprehensive Insurance Coverage – Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning – Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package – Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
• Holistic Wellness Support – Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform – Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement – Invest in your ongoing education and development.
• Employee Perks and Discounts – Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources – Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities: Participate in training programs, workshops, and conferences.

Essential Duties and Responsibilities:

• Serve as a subject matter resource for customer inquiries received via telephone, interactive voice response (IVR), web based portals, or outreach activities regarding program information and services.
• Manage and support escalated enrollment cases and processes in accordance with established case resolution procedures.
• Respond to complex or sensitive customer concerns by applying program policies, procedures, and guidelines to determine appropriate actions or referrals.
• Accurately document customer interactions, case activity, outreach efforts, and actions taken in applicable systems.
• Navigate and utilize multiple systems, tools, and data sources to retrieve, review, compare, analyze, and verify customer or program information.
• Conduct outbound contacts to customers to obtain corrections, clarification, or required documentation to support case resolution or enrollment verification.
• Review and compare customer submitted documentation, including income or eligibility materials, against application data to verify accuracy and compliance.
• Apply program knowledge to educate customers on program offerings, eligibility requirements, enrollment options, and available services.
• Support customers throughout multiple phases of the application or service lifecycle, from enrollment through receipt of benefits or services.
• Identify issues, trends, or barriers impacting customer engagement or service delivery and report concerns to management or project staff as appropriate.
• Collaborate with internal teams, client escalation groups, and external partners to support effective resolution of customer issues and project objectives.
• Maintain confidentiality and security of customer, provider, and program information at all times.
• Meet or exceed established productivity, quality assurance, and performance standards.
• Attend required meetings and trainings and maintain up to date knowledge of programs, systems, policies, procedures, and compliance requirements.
• Perform other related duties as assigned by management.
• Conduct face-to-face and/or virtual (telephonic) outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices
• Assist clients with the enrollment/transfer/disenrollment process
• Interface and maintain professional and positive relationships with HRA/LDSS county staff and clients
• Assist Call Center Operations and other departments as determined by project management to meet business needs
• Regular member of a processing unit within the Outreach department:
• EEU
• Data Entry
• Manual Notices
• Conduct shadowing / training activities with new hires
• Works in assigned special projects
• Maintain Certified Application Counselor CAC active certification
• Conduct Certified Application Counselor (CAC) tasks in select counties
• Maintain updated knowledge of the New York Medicaid Choice Project
• Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
• Perform other duties as assigned by Management

High school diploma or GED required and 6+ months of relevant professional experience required, or equivalent combination of education and experience.

Prior work experience in customer service, data entry and/or data processing

Experience working with MS office applications (Excel, PowerPoint & Word)

Some college or college degree

Experience with New York Medicaid

2+ years of experience in customer service or related position

Follows established guidelines and directions while maintaining a proactive approach to meeting objectives and deadlines.

Effectively manages multiple tasks and priorities under pressure, ensuring high-quality outcomes in a fast-paced environment.

Home Office Requirements for 2 weeks of Remote Training

• Candidates must have their own laptop/computer equipment with Windows 11 Operating System or MacOS 13 Ventura or higher.
• Private and secure workspace
• Reliable high-speed internet service
• Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
• Minimum 5 Mpbs upload speeds

Maximus Required Computer Operating System for 2 Weeks of Remote Training- Windows11 or MacOS Catalina (10.15), MacOS Big Sur (11), MacOS (up to 12.5) or newer. - For HP Users, Maximus requires removal of SMode Maximus restricts smartphone and low performing computer platforms (such as C hromebooks) from accessing Amazon WorkSpaces (AWS).

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.

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety