Customer Service Representative Healthcare

2 days ago


Brownsville, Texas, United States MAXIMUS Full time
Job Summary

We are seeking a skilled Customer Service Representative to join our team at Maximus. As a Customer Service Representative, you will provide exceptional customer care to individuals navigating complex healthcare plans. If you have a passion for making a positive impact and delivering top-notch customer service, we encourage you to apply.

About the Role

This role requires a high level of professionalism, excellent communication skills, and the ability to work within established turnaround times. You will be responsible for providing customer service via multiple channels, including phone, email, and web chat. You will also be required to maintain up-to-date knowledge of client regulations and policies.

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.
  • 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.
What We Offer
  • Hourly Base Pay $17.20 plus $1800+ in potential bonuses.
  • 401k with company match.
  • Paid accrued Sick Leave and PTO plus 11 paid holidays.
  • Company paid, base employee Medical Coverage.
  • Employee Assistance Program (EAP).
  • Employee Wellness and Discount Programs.
  • Flexible scheduling options.
  • A supportive environment with career development and promotional opportunities.


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