Customer Service Representative Healthcare

5 days ago

Brownsville, Texas, United States MAXIMUS Full time
Job Summary

We are seeking a Customer Service Representative to join our team at MAXIMUS. As a Customer Service Representative, you will provide exceptional customer service to our clients, ensuring their needs are met and exceeded.

Key Responsibilities
  • Provide customer service for basic and routine inquiries and problems via multiple possible channels.
  • Use computerized systems for tracking, information gathering, and/or troubleshooting.
  • Provide 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.
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 at a later date to complete your Tier I training for this role.
  • May be required to work overtime and scheduled holidays.
Working Conditions

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.

We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

We offer a competitive salary and benefits package, including paid time off, health insurance, and retirement savings plan. We also offer opportunities for career growth and professional development.

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this role.

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