Customer Service Representative – Healthcare

About the role

Helping America's Most Vulnerable Communities - Through Customer Care and Scheduling That Works For You! 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.

Pay and Benefits

• Competitive Compensation: $16.75/hour base pay plus 10% shift differential for hours worked between 7 p.m. and 10 p.m.
• Potential bonus opportunities: $1,000 new hire bonus and up to $2,200+ in other potential bonuses, with total potential bonuses up to $3,200 for eligible new hires based on role, location, hire date, attendance, hours worked, and continued employment through the required retention period.
• Work/Life Balance Support: Flexible schedules that meet your lifestyle.
• Great Location & Workplace Perks: On-site food vendors, monthly employee engagement activities, and a short commute to multiple fast-food chains for added convenience.
• Comprehensive Insurance Coverage: Company-paid base employee medical coverage.
• Paid Time Off Package: Paid accrued sick leave, PTO, and 11 paid holidays.
• Future Planning: 401(k) with company match.
• Career Growth: Supportive environment with career development and promotional opportunities.
• Maximus Wellness Support: Employee Assistance Program (EAP), Employee Wellness, and discount programs.
• Meaningful Work with Impact: No cold calling, sales, or collection calls required.

Schedule

• Flexible Limited-Service Full-Time schedules available.
• Site Hours: Monday–Sunday, 8 a.m.–10 p.m.; targeted start date, hours, and schedule discussed with recruiter.
• Night shifts are highly desirable; 10% shift differential for any hours worked between 7 p.m. and 10 p.m.

Responsibilities

• Provides customer service for basic and routine inquiries and problems via multiple channels (telephone, email, web chat, written letters).
• Uses computerized system for tracking, information gathering, and/or troubleshooting.
• Provides feedback 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.
• Ability to speak and read English clearly, professionally, and fluently.
• Ability to work within established turnaround times.
• Excellent interpersonal skills and ability to organize simultaneous tasks.
• Ability to work as a member of a team.
• Regular and predictable attendance required.
• Must participate