Experienced Full Stack Customer Service Representative – Healthcare Industry Support

At arenaflex, we're dedicated to delivering exceptional customer experiences that exceed expectations. As a key member of our remote customer service team, you'll play a vital role in providing top-notch support to our members, providers, and internal departments. If you're passionate about delivering outstanding service, have a knack for problem-solving, and thrive in a fast-paced environment, we want to hear from you!

About arenaflex

arenaflex is a leading non-profit healthcare organization committed to improving the lives of our members and communities. With a strong focus on innovation, quality, and customer satisfaction, we're constantly seeking talented individuals who share our values and passion for making a difference. As a remote customer service representative, you'll be part of a dynamic team that's dedicated to delivering exceptional service and support to our customers.

Key Responsibilities

As a remote customer service representative, you'll be responsible for:

• Answering incoming calls, demonstrating a customer-focused philosophy for all customers, including providers, members, potential members, state agencies, and internal departments.
• Explaining existing policies, procedures, and benefits to members, providers, and internal departments.
• Researching, resolving, and documenting customer inquiries, concerns, and issues, providing accurate information and education for all inquiries.
• Conducting outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed.
• Utilizing resource materials, policies, and procedures, handouts, databases, training opportunities, and multiple systems to help with day-to-day activity.
• Providing clear and thorough documentation into our CRM tool for each call received.
• Maintaining strict confidentiality of member, provider, clinical, and organizational information.
• Communicating clearly and effectively with all internal departments and staff, as well as members, providers, state agencies, and other external contacts.
• Working closely with all departments and multidisciplinary teams in support of company goals related to development and implementation of new lines of business, increased enrollment, and compliance with state and federal regulations and NCQA requirements.
• Assisting with departmental projects as necessary and directed by the Customer Service management team.
• Performing other duties as assigned in between calls or during slow periods.

Essential Qualifications

To succeed in this role, you'll need:

• 1-2 years of customer service experience, preferably in a call center environment.
• Strong Microsoft Office skills, including proficiency in Word, Excel, and Outlook.
• High School diploma or equivalent required.
• Medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred).
• Ability to identify and appropriately handle grievances and appeals, and to facilitate quality of outcomes and/or resolutions for the benefit of all applicable parties.
• Demonstrated support for the client's mission, vision, and values.
• Strong written and verbal communication skills, problem-solving skills, attention to detail, organizational, and time management skills, and ability to handle multiple priorities.

Preferred Qualifications

While not required, we prefer candidates with:

• 1-2 years of experience in a call center environment.
• Strong knowledge of medical insurance (Medicare and Medicaid) eligibility/enrollment.
• Experience working with CRM tools and databases.
• Certification in customer service or a related field.

What We Offer

As a remote customer service representative at arenaflex, you'll enjoy:

• A competitive hourly rate of $19-$24 per hour, depending on experience.
• A comprehensive benefits package, including dental insurance, health insurance, and vision insurance.
• Opportunities for career growth and professional development.
• A dynamic and supportive work environment that values diversity, equity, and inclusion.
• Flexible work arrangements, including remote work options.

How to Apply

Ready to join our team? Click the link below to apply now and we'll be in touch soon! Apply to this job

Simple Application Process

Our application process is easy and straightforward. Simply click the link above to submit your application, and we'll review your qualifications and experience. If selected, we'll be in touch to schedule an interview and discuss the next steps in the process.

Join Our Team

At arenaflex, we're passionate about delivering exceptional customer experiences that exceed expectations. If you're a motivated and customer-focused individual who is passionate about making a difference, we want to hear from you! Apply now to join our dynamic team and start making a difference in the lives of our members and communities. Apply for this job