Customer Service Representative – Healthcare

Company : Maximus
Location : Winchester, KY, 40391
Posted Date : 15 October 2025
Job Type : Full Time
Category : Customer Service
Occupation : Customer Service Representative
Job Details
General information
Description & Requirements
o $15.00/hr. base pay + 10% shift differential for evening shiftso $2,900+ in bonus opportunities, including training completion and referrals*
Essential Duties and Responsibilities:
- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
- Calls are basic and routine.
- Uses computerized system for tracking, information gathering, and/or troubleshooting.
- Provides 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
- High School diploma or equivalent with 6 months of customer service experience.
- Must be able to speak and read English clearly, professionally and fluently.
- 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 internal Tier I Claims Part A, Claims Part B, and Claims DME training later to complete your Tier I am 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.
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