**Experienced Customer Service Representative II – Remote Opportunity in Washington State**

At arenaflex, we're committed to creating a diverse and inclusive workforce that reflects the communities we serve. As an equal opportunity employer, we're dedicated to reducing health disparities and becoming an anti-racist organization. Our team is passionate about providing exceptional customer service to our members and providers, and we're looking for a talented and compassionate individual to join our team as an Experienced Customer Service Representative II. **About arenaflex** arenaflex is a leading healthcare organization in Washington State, providing innovative solutions to improve the health and well-being of our members. We're committed to reducing health disparities and creating an equitable work environment that values diversity, equity, and inclusion. Our team is passionate about delivering exceptional customer service and making a positive impact in our community. **About the Role** As an Experienced Customer Service Representative II, you'll be part of a dynamic team that responds to member and provider inquiries regarding benefits, eligibility, and claims status. You'll provide first call resolution by responding accurately and courteously to member and provider inquiries, and facilitate and/or coordinate appropriate resolutions. You'll also have the opportunity to work with our team to develop and implement solutions to improve our customer service experience. **Key Responsibilities** * Provide first call resolution by responding accurately and courteously to member and provider inquiries regarding benefit interpretation, eligibility, claims status, and other related issues under Washington Apple Health, Medicare Advantage, and Cascade Select Plans and other products as offered by arenaflex. * Document inquiries, complaints, and other data in computer database in an accurate, clear, and timely manner. * Provide support to arenaflex members during the Medicare Annual Election Period, including working a variable shift and/or weekend hours. * Advise providers with the outcome of how a claim has processed and take appropriate action on behalf of the provider and arenaflex. * Meet attendance and call quality standards. * Perform all functions of the job with accuracy, attention to detail, and within established timeframes. * Other duties as assigned. **Essential Qualifications** * 3+ years of call center experience, preferably in insurance, managed care, or from a provider setting. * Experience with state and federal programs, including Washington Apple Health, Medicare Advantage Plans. * Knowledge of medical terminology and healthcare. * Ability to work in a 100% remote environment. * Strong communication and interpersonal skills. * Ability to work in a fast-paced environment and prioritize multiple tasks at a given time. **Preferred Qualifications** * Experience working with diverse populations and cultures. * Knowledge of claims and claims processing. * Experience with MS Office products, including Outlook, Word, and Excel. * Ability to summarize calls and create clear and concise documentation. **Skills and Competencies** * Ability to gather and assess information from multiple systems, apply protocols, and determine appropriate actions. * Excellent verbal and written communication skills, including typing. * Ability to work in a team environment and collaborate with colleagues to achieve goals. * Strong analytical and problem-solving skills. * Ability to learn and adapt to new systems and processes. **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 * Online training and certification programs * Leadership development programs * Opportunities for advancement and career growth **Work Environment and Company Culture** arenaflex is a remote-friendly organization, and this role will be performed entirely from home. We're committed to creating a work environment that values diversity, equity, and inclusion, and we're passionate about delivering exceptional customer service to our members and providers. **Compensation and Benefits** The position is FLSA Non-Exempt and is eligible for overtime and has a 5% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. arenaflex offers a comprehensive benefits package, including: * Medical, Prescription, Dental, and Vision * Telehealth app * Flexible Spending Accounts, Health Savings Accounts * Basic Life AD&D, Short and Long-Term Disability * Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous employer match * Employee Assistance Program and Mental Fitness app * Financial Coaching, Identity Theft Protection * Time off including PTO accrual starting at 17 days per year * 40 hours Community Service volunteer time * 10 standard holidays, 2 floating holidays * Compassion time off, jury duty **Sensory/Physical/Mental Requirements** This role requires: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. * Extended periods of sitting, computer use, talking, and possibly standing. * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion. * Frequent torso/back static position; occasional stooping, bending, and twisting. * Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability. **Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities** arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a work environment that values diversity, equity, and inclusion, and we're passionate about delivering exceptional customer service to our members and providers. **How to Apply** If you're passionate about delivering exceptional customer service and making a positive impact in our community, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter outlining your qualifications and experience. **Note:** arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a work environment that values diversity, equity, and inclusion, and we're passionate about delivering exceptional customer service to our members and providers. Apply for this job