At arenaflex, we're passionate about empowering better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. As a Customer Service Representative at arenaflex, you'll be at the forefront of delivering exceptional service, serving as the first point of contact for our valued customers. In this instrumental role, you will handle incoming and outgoing calls with professionalism and care, resolving customer inquiries, addressing complaints, and fulfilling requests.
**Job Summary**
As a Customer Service Representative, you will be responsible for providing accurate information and assistance to our customers, utilizing automated systems to log, retrieve, and update information, and handling inquiries received via phone, email, fax, or mail. You will also engage with external partners, including hospitals, physicians, beneficiaries, and program recipients, to provide necessary support and information. Your ability to provide effective solutions while adhering to our internal policies and procedures will make a lasting impact on customer satisfaction and our departmental success.
**Responsibilities**
* Develop and maintain working knowledge of internal policies, procedures, and available services to provide accurate information and assistance.
* Utilize automated systems to log, retrieve, and update information while ensuring precise and timely data entry.
* Handle inquiries received via phone, email, fax, or mail, providing accurate responses within required turnaround times.
* Respond to telephone inquiries promptly, professionally, and with a customer-focused approach.
* Engage with external partners, including hospitals, physicians, beneficiaries, and program recipients, to provide necessary support and information.
* Verify healthcare services to ensure eligibility and facilitate payment processing.
* Review, process, and finalize documentation for submission into internal systems, ensuring accurate and timely transmission to the state.
* Outreach calls to beneficiaries to schedule assessments.
* Act as a liaison between internal teams and external partners to ensure seamless communication and resolution of inquiries.
* Investigate, troubleshoot, and escalate beneficiaries' issues as needed.
* Consistently meet or exceed departmental performance standards for call volume and service quality.
* Accurately initiate and document cases by entering demographic, provider, and procedure details into the system.
* Prepare and submit daily, monthly, and quarterly reports essential for supporting clinical team operations.
**Qualifications**
* **Required Qualifications, Skills, Knowledge, and Experience**
+ High school diploma or equivalent required.
+ Minimum of two years of customer service experience, preferably in a healthcare or call center environment.
+ Strong understanding of medical terminology.
+ Familiarity with the health insurance industry, including policies and claims assessment processes.
+ Excellent verbal communication and active listening skills to provide exceptional customer service.
+ Completion of medical terminology coursework is preferred.
+ Prior scheduling work experience is preferred.
* **Preferred Qualifications**
+ Bachelor's degree in a related field.
+ Experience working in a healthcare or insurance environment.
+ Proficiency in automated systems and software applications.
**Why Join arenaflex?**
At arenaflex, we're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people.
**Benefits**
Benefits are a key component of your rewards package at arenaflex. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
**Compensation**
The pay range for this position is $26,368.00 - $41,200.00 per year, based on our compensation philosophy, which considers various factors such as years of applicable experience and skill level.
**Work Environment and Culture**
As a remote employee, you'll have the flexibility to work from the comfort of your own home, while still being part of a dynamic and collaborative team. Our company culture is built on a foundation of respect, empathy, and open communication. We encourage our employees to take ownership of their work, share their ideas, and grow professionally.
**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 professional development resources to help you achieve your goals. Our employees have the opportunity to work on challenging projects, collaborate with cross-functional teams, and develop new skills and expertise.
**How to Apply**
If you're passionate about delivering exceptional customer service and making a difference in people's lives, we encourage you to apply for this exciting opportunity. Please visit our website at arenaflex.com/careers/ to submit your application. We look forward to hearing from you!
**Equal Opportunity Employer**
arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
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