Experienced Call Center Customer Service Representative - Healthcare Eligibility & Claims Specialist

At arenaflex, we're revolutionizing the healthcare benefit services industry by providing cutting-edge solutions that empower our members to make informed decisions about their healthcare benefits. As a rapidly growing company, we're committed to eliminating surprises in our members' healthcare coverage and ensuring that employers and their employees have the information they need to thrive. We're seeking an experienced Call Center Customer Service Representative to join our team of dedicated professionals who are passionate about delivering exceptional customer experiences. As a key member of our healthcare customer service team, you'll play a vital role in providing eligibility, benefits, and claim status to our valued members. If you're a customer service enthusiast with a strong background in healthcare, we want to hear from you!

Position Overview

As a Call Center Customer Service Representative, you'll be responsible for:

• Answering phones promptly and professionally, handling high volumes of inbound calls from providers
• Confirming benefits and eligibility for our members
• Reading and understanding Benefit Overviews to provide accurate information to our members
• Responding to claim inquiries via phone and email, ensuring that our members receive timely and accurate information about their claims
• Familiarity with reading Explanation of Benefits (EOBs) to provide clear and concise explanations to our members
• Meeting and adhering to all Key Performance Indicator (KPI) metrics, ensuring that our team is meeting and exceeding our service standards
• Completing daily tasks efficiently, even in between calls, to ensure that our members receive prompt and accurate service
• Adhering to all policies and procedures, ensuring that our team is compliant with all regulatory requirements

Why Work with Us

At arenaflex, we're committed to creating a work environment that's supportive, inclusive, and empowering. As a remote employee, you'll enjoy:

• 100% remote work-from-home position, allowing you to work from the comfort of your own home
• Benefits available on day 1 of employment, including medical, vision, and dental insurance
• In-depth training program to guarantee your success in your position
• Fast-growing company with opportunities for advancement and career growth
• Supportive team-based workplace, where collaboration and teamwork are encouraged
• 3 weeks of PTO plus 8 paid company holidays, ensuring that you have time to relax and recharge
• Monday-Friday position, with no weekends or overtime required
• Our family values mean we're committed to a real living wage, with meaningful benefits that support your well-being

Requirements

To be successful in this role, you'll need:

• Experience working in health insurance, with a strong understanding of healthcare benefits and claims processing
• A high level of organization, reliability, and attention to detail, ensuring that our members receive accurate and timely information
• Phone-based customer service call center experience, with the ability to handle high volumes of inbound calls
• Comfortable working with technology, including our CRM system and other software applications
• Exceptional verbal and written communication skills, ensuring that our members receive clear and concise information
• Outstanding track record of attendance and adherence to schedule, demonstrating your commitment to our team and our members
• Proper utilization of resources, ensuring that our team is working efficiently and effectively
• Ability to accept feedback in a positive manner, demonstrating your willingness to learn and grow
• Quiet and private home working environment, where you can work uninterrupted for the duration of your shift
• Self-starter who demonstrates working independently, with minimal supervision
• Reliable high-speed Internet access required, ensuring that you can work efficiently and effectively
• Successful multitasker who can ensure all responsibilities are completed on time

Personal Attributes Needed for Success

To excel in this role, you'll need:

• Ability to build rapport with a wide range of people, including our members and internal stakeholders
• Excellent follow-up and follow-through skills, ensuring that our members receive timely and accurate information
• Strong desire to be of service and assist others, demonstrating your commitment to our team and our members
• Motivated by being in a supportive role and contributing to team success, ensuring that our team is working collaboratively and effectively
• Bilingual skills a plus, with proficiency in English and Spanish, English and Chinese, English and Mandarin, or English and Russian
• Familiarity with Indemnity Plans a PLUS, demonstrating your understanding of healthcare benefits and claims processing

Job Type

Full-time position, with a regular 8-hour shift, Monday to Friday

Pay

$17.00 - $19.00 per hour, depending on experience and qualifications

Benefits

* 401(k) plan with matching contributions

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program

Schedule

* 8-hour shift, Monday to Friday

• Day shift, with no weekends or overtime required

Application Question(s)

* Do you have any familiarity with Indemnity Plans?

Experience

* Call Center/Heavy Phone: 1 year (Required)

• Medical Insurance: 1 year (Required)
• Customer Service: 1 year (Required)

Work Location

Remote, with the ability to work from the comfort of your own home If you're a customer service enthusiast with a strong background in healthcare, we want to hear from you! Apply now to join our team of dedicated professionals who are passionate about delivering exceptional customer experiences. Apply for this job