Customer Service Representative – Healthcare

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

We provide a competitive package designed to support your success both inside and outside work:

- 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, ask your recruiter for more details

• 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

• 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.