Customer Service Representative - Bronx, NY

Requirements

This position is responsible for providing telephonic enrollment and outreach services to New York Medicaid recipients. In this position you will maintain an active Certified Application Counselor (CAC) certification and assist with special projects and administrative tasks. This is an on-site position located at our Bronx, NY office.

• Starting pay: $19.00/HR
• Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
• 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).
• Rewards and Perks - 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

• Foster strong customer relationships, monitoring their engagement and progress.
• Collaborate regularly with customers to attain program goals and sustain eligibility for services.
• Conduct workshops and deliver various training services to customers.
• Demonstrate substantial program knowledge, assisting customers through multiple phases of the application process, from enrollment to benefit allocation.
• Aid customers in accessing services aligning with program objectives, including educational/vocational training, medical support, childcare, transportation, mental health services, legal aid, and related needs.
• Follow up with customers to ensure their needs are met and address any queries or concerns.
• Collaborate with team members, providing expertise and assistance in resolving participant issues.
• Maintain accurate and timely case notes for all customer interactions and document related activities.
• Share updates on outreach and engagement efforts with project staff.
• Report identified barriers hindering customer engagement with the Provider to project staff.
• Conduct telephonic outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices.
• Interface and maintain professional and positive relationships with HRA/LDSS county staff and clients.
• Conduct appointments to assist CYES Program eligible consumers to complete their Medicaid application.
• Assist Call Center Operations and other departments as determined by project management to meet business needs.
• Aid processing units within the Outreach department as determined by project management to meet business needs.
• 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.
• Perform other duties as assigned by project management to meet business needs.

Minimum Requirements

• High school diploma or GED required and 0-6 months of relevant professional experience required, or equivalent combination of education and experience.
• Some college or college degree - Experience with the Medicaid program or within a HIPAA-regulated environment - 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.