At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As an IFP Customer Service Advocate, you will play a crucial role in this mission by assisting customers with their health benefits inquiries. This position allows you to work remotely from anywhere in the U.S., providing you with the flexibility to balance your work and personal life while making a significant impact on the lives of millions.
**About arenaflex**
arenaflex is a leading health insurance company that is committed to providing innovative solutions to the complex healthcare landscape. Our team of dedicated professionals is passionate about creating healthier communities and improving the lives of our customers. We believe that everyone deserves access to quality healthcare, and we are dedicated to making that a reality.
**Job Summary**
As an IFP Customer Service Advocate, you will be responsible for answering incoming calls from customers, addressing their questions about health benefits, and guiding them through the enrollment process for new plans. This role is not just about answering questions; it's about being an advocate for our customers and ensuring they receive the support they need. You will be working with a vulnerable population that may require additional support, and your ability to multi-task and show compassion will be essential.
**Responsibilities**
* Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs))
* Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
* Own problem through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
* Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
* Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)
* Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding
* Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction, and attendance
**Requirements**
* High School Diploma / GED OR equivalent work experience
* Must be 18 years of age OR older
* 2+ years of customer service experience
* Ability to work full-time, Monday - Friday between 7:00am - 6:00pm CST including the flexibility to work occasional overtime given the business need
**Nice-to-haves**
* Health Care/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
* Bilingual fluency in English and Spanish
**Benefits**
* Comprehensive benefits package
* Incentive and recognition programs
* Equity stock purchase
* 401k contribution
**What We Offer**
At arenaflex, we are committed to providing our employees with a supportive and inclusive work environment. We offer a range of benefits and perks that will help you grow both personally and professionally. Some of the benefits we offer include:
* Comprehensive training program to ensure you have the skills and knowledge you need to succeed in your role
* Opportunities for career growth and advancement within the company
* Collaborative and supportive team environment
* Flexible work arrangements to help you balance your work and personal life
* Recognition and reward programs to acknowledge your hard work and contributions
**How to Apply**
If you are a motivated and compassionate individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter that highlights your relevant experience and qualifications.
**Equal Employment Opportunity**
arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide equal opportunities for employment and career advancement to all qualified candidates.
**Contact Us**
If you have any questions or would like more information about this opportunity, please do not hesitate to contact us. We look forward to hearing from you and exploring how you can contribute to our mission to create healthier communities.
Why Join arenaflex?
At arenaflex, we are passionate about creating healthier communities and improving the lives of our customers. We believe that everyone deserves access to quality healthcare, and we are dedicated to making that a reality. As an IFP Customer Service Advocate, you will be part of a team that is committed to making a difference in the lives of others.
Our Mission
Our mission is to simplify the health care experience and create healthier communities. We believe that everyone deserves access to quality healthcare, and we are dedicated to making that a reality.
Our Values
We value compassion, empathy, and understanding. We believe that every individual deserves to be treated with respect and dignity, and we strive to create a workplace that is inclusive and supportive of all employees.
Our Culture
We are a collaborative and supportive team environment that values open communication and teamwork. We believe that everyone has a role to play in creating a healthier community, and we strive to create a workplace that is inclusive and respectful of all employees.
Our Benefits
We offer a range of benefits and perks that will help you grow both personally and professionally. Some of the benefits we offer include:
* Comprehensive training program to ensure you have the skills and knowledge you need to succeed in your role
* Opportunities for career growth and advancement within the company
* Collaborative and supportive team environment
* Flexible work arrangements to help you balance your work and personal life
* Recognition and reward programs to acknowledge your hard work and contributions
How to Apply
If you are a motivated and compassionate individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter that highlights your relevant experience and qualifications.
Equal Employment Opportunity
arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide equal opportunities for employment and career advancement to all qualified candidates.
Apply for this job