Experienced Customer Service Representative – Healthcare and Insurance Support

At arenaflex, we're revolutionizing the healthcare industry by providing innovative solutions that put patients at the forefront. As a Customer Service Representative, you'll play a vital role in delivering exceptional support to our health plan members and providers, ensuring they receive accurate, timely, and meaningful information. If you're passionate about making a difference in people's lives and have a knack for building strong relationships, we want to hear from you!

About arenaflex

arenaflex is a leading healthcare company dedicated to transforming the way patients access and receive care. Our mission is to provide personalized, patient-centered solutions that empower individuals to take control of their health. We're committed to fostering a culture of innovation, collaboration, and excellence, and we're looking for talented individuals like you to join our team.

Job Summary

As a Customer Service Representative, you'll be the first point of contact for our health plan members and providers, handling a wide range of inquiries and requests. You'll provide accurate and timely information, resolve issues and complaints, and build strong relationships with our stakeholders. This is a remote call center position, and you'll have the flexibility to work from the comfort of your own home.

Essential Duties and Responsibilities

* Answer phone calls and emails from health plan members and providers, providing accurate and timely information about their benefits, eligibility, referrals, and claim processing.

• Direct calls and emails to the correct department and escalate as needed to ensure prompt resolution.
• Build and maintain strong relationships with providers and members by handling questions, concerns, and resolving issues/complaints with speed and professionalism.
• Document all interactions and transactions with callers in the appropriate areas, ensuring compliance with HIPAA guidelines.
• Provide provider and member outreach calls for resolutions and follow-ups.
• Process voicemail returns and respond to emails in a timely manner.
• Interact and build relationships with Member Support, Medical Management, Pharmacy, and Eligibility teams as needed.
• Provide support for provider and member portal access.
• Work in accordance with US regulatory and Quality System requirements (21 CFR 820, etc.).
• Perform other duties as assigned by management.

Qualifications

To succeed in this role, you'll need:

• 6-12 months of related experience and/or training in a call center environment, preferably in healthcare or insurance.
• Excellent attendance is critical to success in this position.
• Internal candidates must have been in their current role for at least 6 months and have no performance or attendance actions in effect.
• Excellent computer and phone skills, attention to detail, and process and policy adherence.
• Excellent verbal and written communication skills.
• Strong interpersonal skills.
• Active listening skills to accurately respond to inquiries and requests.
• Exceptional organizational skills, retention of policy and process a must.
• Intermediate skills minimum in Google and Microsoft Office suite of products.
• Bilingual in English and Spanish preferred but not required.

Education and Experience

* High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

• Administrative/Healthcare experience a plus but not required.

Work Shifts and Environment

* Monday – Friday, 8am – 5:00pm CST.

• Remote position, requiring a quiet, secure, and distraction-free workspace.
• Must have password-protected, stable internet access (a stipend will be provided).
• Work location MUST be secure and private to maintain HIPAA compliance for work from home.
• Office equipment will be supplied, including a PC, monitor, keyboard, mouse, and headset.

Training Expectations

* You'll attend a 3-week minimum remote training program, with mandatory attendance for the full training period.

• Training will be Monday through Friday, 8:30am – 5pm CST.
• You'll be required to take daily competency exams and a retention exam on the Friday of both weeks of training, with a passing grade of 90% or above.
• We request that you do not request any time off within the first 120 days of employment, except in emergency situations.

Why Join arenaflex?

* Competitive compensation and benefits package.

• Opportunities for career growth and professional development.
• Collaborative and dynamic work environment.
• Flexible remote work arrangement.
• Comprehensive training program to ensure your success.

How to Apply

If you're passionate about delivering exceptional customer service and making a difference in people's lives, we want to hear from you! Apply now by clicking the link below: Apply Job! We look forward to welcoming you to the arenaflex team! Apply for this job