**Join arenaflex, a leading healthcare company, in shaping the future of healthcare and making a meaningful impact on people's lives.**
Imagine working for a company that values diversity, equity, and inclusion, and strives to create a healthier world for everyone. At arenaflex, we're committed to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. As a Bilingual Customer Service Representative, you'll play a vital role in helping our members navigate the healthcare system and achieve their health goals.
**About arenaflex**
arenaflex is a dynamic and innovative company that's dedicated to improving the lives of millions of people. We're part of a larger family of businesses that share our commitment to making healthcare more accessible, affordable, and equitable. Our mission is to help people live healthier lives and make the health system work better for everyone.
**The Role**
As a Bilingual Customer Service Representative, you'll be the first point of contact for our members, providing them with accurate and timely information about their health plans and benefits. You'll work collaboratively with physicians, other healthcare providers, and internal teams to ensure that our members receive the care they need. Your primary responsibilities will include:
* Frequent speaking and listening using a headset, sitting, and using hands/fingers to operate a keyboard or mouse
* Working in a call center environment with moderate noise levels due to representatives talking, computers, printers, and floor activity
* Encouraging members to use their benefits to seek appropriate care, complete preventive screenings, and adhere to their medications
* Collaborating with physicians and other healthcare providers to proactively assist members with coordinating appointments, requesting prescriptions, and arranging transportation
* Ensuring quality customer service for internal and external customers
* Responding to incoming customer service requests, both verbal and written, relating to STARS measures
* Identifying and assessing customers' needs quickly and accurately
* Placing outgoing phone calls to complete follow-up on customer service STARS-related measures
* Responding to customer service inquiries or routing inquiries to appropriate departments as necessary
* Establishing and demonstrating competency in eligibility and associated applications (e.g., RxClaims, SAM, ICUE) in regards to STARS-related measures or routing member/provider questions to appropriate departments
* Implementing customer service strategies relating to STARS Outreach Measures and recommending related improvements/enhancements
* Maintaining timely, accurate documentation for all appropriate transactions
* Consistently meeting established productivity, schedule adherence, and quality standards
* Keeping management abreast of all outstanding issues
**Requirements**
* High School Diploma/GED or equivalent work experience
* Must be 18 years of age or older
* 1+ years of customer service experience analyzing and solving customer problems
* Bilingual fluency in English and Spanish
* Experience with Microsoft Office products: Microsoft Word (create correspondence), Microsoft Excel (ability to sort, filter, and create simple spreadsheets), Microsoft Outlook (email and calendar management)
* Ability to work between the hours of 8:00 AM - 5:00 PM from Monday - Friday, with some overtime requested
**Preferred Qualifications**
* Healthcare/insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
* Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
* Sales or account management experience
**Telecommuting Requirements**
* Reside within the state of Florida within a commutable distance to an arenaflex office in Miami or Fort Lauderdale
* Ability to keep all company-sensitive documents secure (if applicable)
* Required to have a dedicated work area established that is separated from other living areas and provides information privacy
* Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills**
* Ability to navigate a computer while on the phone
* Ability to multi-task, including understanding multiple products and multiple levels of benefits within each product
* Ability to remain focused and productive each day, though tasks may be repetitive
* Ability to execute own assignments under the direction of experienced staff
* Ability to balance and prioritize multiple tasks
* Seeks assistance as appropriate
* Ability to trouble-shoot problems
* Willing to work and contribute in a team environment
* Ability to learn new and complex computer system applications
**Benefits and Perks**
* Competitive salary and benefits package
* Opportunities for career growth and professional development
* Collaborative and dynamic work environment
* Recognition and rewards for outstanding performance
* Comprehensive training program to ensure your success in the role
* Flexible work arrangements, including remote work options
**Diversity, Equity, and Inclusion**
arenaflex is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
**Apply Now**
If you're passionate about making a difference in people's lives and are looking for a challenging and rewarding career opportunity, apply now to join our team as a Bilingual Customer Service Representative.
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