Are you passionate about delivering exceptional customer service and making a meaningful impact in the lives of others? Do you thrive in a dynamic, fast-paced environment where no two interactions are ever the same? If so, we invite you to join arenaflex, a leading healthcare organization dedicated to revolutionizing the way we approach health and wellness. As an Experienced Behavioral Health Customer Service Representative, you will play a vital role in shaping the customer experience and helping individuals navigate the complexities of behavioral health care.
**About arenaflex**
At arenaflex, we're committed to putting our heart into every moment of our customers' health. Our purpose is simple yet powerful: to deliver enhanced human-centric healthcare for a rapidly changing world. With a focus on innovation, convenience, and affordability, we're redefining the way healthcare is delivered. Our Heart At Work Behaviors support this purpose, empowering our employees to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions.
**Job Summary**
As an Experienced Behavioral Health Customer Service Representative, you will be responsible for providing advocate care to assist members with a clear path to care, claims understanding, and resolution. You will educate members on online resources, guide them through their plan of benefits, and ensure compliance with regulatory guidelines. Your emotional intelligence, active listening skills, and ability to build trusting relationships will be essential in creating a positive and supportive experience for our members.
**Key Responsibilities**
* Guides members through their plan of benefits, Aetna policy, and procedures, as well as providing knowledge of resources to comply with regulatory guidelines
* Creates an emotional connection with members by understanding and engaging them to the fullest, championing for their best health
* Takes accountability to fully understand members' needs by building a trusting and caring relationship with them
* Anticipates customer needs and performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
* Performs financial data maintenance as necessary
* Explains members' rights and responsibilities in accordance with contract
**Essential Qualifications**
* 1-3 years of customer service experience within a call center atmosphere
* High school diploma or GED required; associate's degree preferred
* Previous behavioral health experience or medical/insurance background a plus
**Preferred Qualifications**
* Previous experience in a behavioral health setting
* Medical or insurance background
* Associate's degree or higher
**Skills and Competencies**
* Excellent communication and interpersonal skills
* Ability to build trusting relationships with members
* Emotional intelligence and empathy
* Strong problem-solving and critical thinking skills
* Ability to work in a fast-paced environment with multiple priorities
* Proficiency in computer software and technology
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a range of training programs, mentorship opportunities, and education assistance to support your professional growth. Our culture is built on collaboration, innovation, and a passion for making a difference. We believe in recognizing and rewarding our employees for their hard work and dedication, and we offer a comprehensive benefits package to support your overall well-being.
**Work Environment and Company Culture**
As a remote employee, you'll have the flexibility to work from the comfort of your own home. Our fully remote role offers the perfect blend of autonomy and collaboration, allowing you to work independently while still being part of a dynamic and supportive team. Our company culture is built on our Heart At Work Behaviors, which include:
* Self-discipline
* Hard work
* Curiosity
* Trustworthiness
* Humility
* Truthfulness
We're proud to be recognized as the #1 Top Workplace in the area, and we're committed to creating a work environment that's inclusive, supportive, and empowering.
**Compensation, Perks, and Benefits**
We offer a competitive compensation package, including:
* Base hourly rate or base annual full-time salary: $17.00 - $28.46
* Eligibility for a CVS Health bonus, commission, or short-term incentive program
* Comprehensive benefits package, including medical, dental, and vision benefits
* 401(k) retirement savings plan and Employee Stock Purchase Plan
* Fully-paid term life insurance plan and short-term and long-term disability benefits
* Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year
**Conclusion**
If you're passionate about delivering exceptional customer service and making a meaningful impact in the lives of others, we invite you to join our team at arenaflex. As an Experienced Behavioral Health Customer Service Representative, you'll have the opportunity to work in a dynamic, fast-paced environment where no two interactions are ever the same. We offer a comprehensive benefits package, career growth opportunities, and a supportive work environment that's inclusive, empowering, and rewarding. Apply now to join our team and start making a difference in the lives of our members!
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