Maximus is seeking Customer Service Representative – Eligibility Specialists (ES) to join our team in Jeffersonville, IN. This role will be responsible for receiving high volume, often back-to-back, inbound calls about Medicaid, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) programs, recipients, and other members of the community. Our CSRs will assist customers by answering queries, handling complaints and troubleshooting problems professionally, ensuring effective resolution and customer satisfaction.
Additionally, during calls, a Customer Service Rep is expected to also process applications and complete case maintenance activities such as changes to cases in the State eligibility system. This position will ensure all client service issues are resolved in a timely manner and in accordance with stated policies and procedures.
Essential Duties and Responsibilities:
– Execute managed care enrollment tasks using the Welfare Management System (WMS).
– Review enrollment concerns through WMS, and other State Medicaid Data systems.
– Assess managed care issues within the State of Health framework and determine subsequent actions.
– Collaborate with local district, State Department Of Health and Enrollment Broker personnel to address managed care issues.
– Adhere to all standards specified for this role as outlined in the corresponding annual performance criteria and bonus template.
– Perform managed care enrollment activities on the Welfare Management System (WMS).
– Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems.
– Evaluate State of Health managed care issues and make next step determinations.
– Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues.
– Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
– High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
Tagged as: management
Source: Jobs2Careers - Jobs & Careers