At arenaflex, we're committed to delivering exceptional healthcare services to our members, and we're seeking a highly motivated and customer-focused individual to join our team as a Medicare Outreach Customer Service Representative. As a key member of our organization, you'll play a vital role in promoting healthy lifestyles, educating members about our products and programs, and fostering strong relationships with healthcare providers and community agencies.
**About arenaflex**
arenaflex is a dynamic organization dedicated to helping people live healthier and more satisfying lives. Our culture of high performance and commitment to excellence has earned us a reputation as a leader in the healthcare industry. With a strong focus on quality service and community engagement, we strive to make a positive impact on the lives of our members and the communities we serve.
**Our Health Plans**
arenaflex operates two health plans: McLaren Health Plan, our Michigan-based health plan, and MDwise, Inc., our Indiana-based health plan. McLaren Health Plan is dedicated to meeting the healthcare needs of our Michigan members, while MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.
**Job Summary**
As a Medicare Outreach Customer Service Representative, you'll be responsible for delivering high-quality service to our members, promoting healthy lifestyles, and establishing strong relationships with healthcare providers and community agencies. You'll work closely with our Customer Service department to support the Medicare Stars Program and contribute to the growth and success of our organization.
**Key Responsibilities**
* Deliver exceptional customer service to our members, responding to their inquiries and resolving issues in a timely and professional manner
* Educate and network with people of diverse backgrounds and cultures on our products and programs, promoting healthy lifestyles and attracting and retaining membership in the Plan
* Establish and maintain relationships with healthcare providers and community agencies to promote the Plan's presence in the community
* Track and trend HEDIS or Medicare Stars rates, identifying areas for improvement and implementing strategies to enhance quality and performance
* Foster positive outcomes for members and providers, ensuring that our services meet their needs and exceed their expectations
* Collaborate with the Customer Service department to support the Medicare Stars Program and contribute to the growth and success of our organization
**Essential Qualifications**
* High School Diploma or equivalent educational certification
* Two (2) years' experience in a customer service-related position
* Strong communication and interpersonal skills, with the ability to work effectively with diverse populations
* Ability to work in a fast-paced environment, prioritizing tasks and managing multiple projects simultaneously
* Proficiency in Microsoft Office and other software applications
**Preferred Qualifications**
* Associate Degree in healthcare administration, communication, marketing, or a related field
* One year experience in a community-focused outreach position
* NCQA experience specific to HEDIS measurement
* In-depth understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.
**Skills and Competencies**
* Strong customer service skills, with the ability to respond to member inquiries and resolve issues in a timely and professional manner
* Excellent communication and interpersonal skills, with the ability to work effectively with diverse populations
* Ability to work in a fast-paced environment, prioritizing tasks and managing multiple projects simultaneously
* Strong analytical and problem-solving skills, with the ability to identify areas for improvement and implement strategies to enhance quality and performance
* Proficiency in Microsoft Office and other software applications
**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 and development opportunities, including:
* On-the-job training and mentorship programs
* Professional development workshops and conferences
* Online learning platforms and resources
* Opportunities for advancement and career growth
**Work Environment and Company Culture**
arenaflex is a remote-friendly organization, offering the flexibility and autonomy to work from home. Our company culture is built on a foundation of collaboration, innovation, and customer focus, with a strong emphasis on teamwork, communication, and mutual respect.
**Compensation, Perks, and Benefits**
arenaflex offers a competitive compensation package, including:
* Salary: $50,000 - $65,000 per year, depending on experience
* Benefits: medical, dental, and vision insurance, 401(k) plan, paid time off, and holidays
* Perks: flexible work arrangements, professional development opportunities, and a fun and supportive work environment
**How to Apply**
If you're a motivated and customer-focused individual with a passion for healthcare and community engagement, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We can't wait to hear from you!
**Equal Opportunity Employer**
arenaflex is an equal opportunity employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds and perspectives.
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