**Experienced Customer Service Representative – Remote Opportunity to Empower Better Health Outcomes**
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, and we're looking for a talented Customer Service Representative to join our growing team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
**About arenaflex**
arenaflex exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 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 a vital partner to ensure better healthcare and improve health outcomes.
**Why Join arenaflex?**
We offer unparalleled opportunities for growth and development, and we're committed to providing our employees with the tools and encouragement they need to achieve the finest work of their career. Our company cares about our employees, and we're dedicated to creating a work environment that's supportive, inclusive, and empowering.
**Job Summary**
We're seeking an experienced Customer Service Representative to join our remote team. As a Customer Service Representative, you'll be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests, and utilizing your working knowledge of our services to meet productivity and quality standards.
**Key Responsibilities**
* Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational)
* Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes
* Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times
* Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures
* Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients
* Perform verification of healthcare services to facilitate payment for received services
* Identify medical claims meeting CPT/DRG audit criteria and submits the necessary billing data and healthcare records to the third-party auditor
* Serve as liaison between the internal and external partners
* Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party
* Meet or exceed standards for call volume and service level per department guidelines
* Initiate cases by collecting and entering demographic, provider, and procedure information into the system
* May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting
**Requirements**
* High School diploma or equivalent
* Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications
* Effective verbal and listening skills to provide courteous and professional customer service
**Preferred Qualifications**
* Knowledge of the health insurance industry
* Experience working in a healthcare setting
* Medical terminology knowledge is preferred
* Bilingual (Spanish/English) skills are a plus
* Minimum of two years of customer service experience
**Benefits and Compensation**
* Comprehensive health plans
* Paid time off
* Retirement savings
* Corporate wellness
* Educational assistance
* Corporate discounts
* Competitive pay range of $15.48-$17.20 an hour
**Career Growth Opportunities**
At arenaflex, we're committed to providing our employees with opportunities for growth and development. We offer a range of training programs, mentorship opportunities, and career advancement opportunities to help you achieve your career goals.
**Work Environment and Company Culture**
We're a remote-friendly company that values flexibility and work-life balance. Our company culture is supportive, inclusive, and empowering, and we're committed to creating a work environment that's conducive to productivity and success.
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about empowering better health outcomes, we encourage you to apply for this exciting opportunity. Please visit our website at arenaflex.com/careers to learn more about our company and to submit your application.
**Equal Opportunity Employer**
arenaflex is an Equal Opportunity Employer. We're committed to creating a diverse and inclusive work environment that's free from discrimination and harassment. We welcome applications from qualified candidates of all backgrounds and perspectives.
**Contact Us**
If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us. We look forward to hearing from you!
Apply Now
Apply Now
**About arenaflex**
arenaflex exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 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 a vital partner to ensure better healthcare and improve health outcomes.
**Why Join arenaflex?**
We offer unparalleled opportunities for growth and development, and we're committed to providing our employees with the tools and encouragement they need to achieve the finest work of their career. Our company cares about our employees, and we're dedicated to creating a work environment that's supportive, inclusive, and empowering.
**Job Summary**
We're seeking an experienced Customer Service Representative to join our remote team. As a Customer Service Representative, you'll be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests, and utilizing your working knowledge of our services to meet productivity and quality standards.
**Key Responsibilities**
* Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational)
* Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes
* Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times
* Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures
* Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients
* Perform verification of healthcare services to facilitate payment for received services
* Identify medical claims meeting CPT/DRG audit criteria and submits the necessary billing data and healthcare records to the third-party auditor
* Serve as liaison between the internal and external partners
* Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party
* Meet or exceed standards for call volume and service level per department guidelines
* Initiate cases by collecting and entering demographic, provider, and procedure information into the system
* May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting
**Requirements**
* High School diploma or equivalent
* Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications
* Effective verbal and listening skills to provide courteous and professional customer service
**Preferred Qualifications**
* Knowledge of the health insurance industry
* Experience working in a healthcare setting
* Medical terminology knowledge is preferred
* Bilingual (Spanish/English) skills are a plus
* Minimum of two years of customer service experience
**Benefits and Compensation**
* Comprehensive health plans
* Paid time off
* Retirement savings
* Corporate wellness
* Educational assistance
* Corporate discounts
* Competitive pay range of $15.48-$17.20 an hour
**Career Growth Opportunities**
At arenaflex, we're committed to providing our employees with opportunities for growth and development. We offer a range of training programs, mentorship opportunities, and career advancement opportunities to help you achieve your career goals.
**Work Environment and Company Culture**
We're a remote-friendly company that values flexibility and work-life balance. Our company culture is supportive, inclusive, and empowering, and we're committed to creating a work environment that's conducive to productivity and success.
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about empowering better health outcomes, we encourage you to apply for this exciting opportunity. Please visit our website at arenaflex.com/careers to learn more about our company and to submit your application.
**Equal Opportunity Employer**
arenaflex is an Equal Opportunity Employer. We're committed to creating a diverse and inclusive work environment that's free from discrimination and harassment. We welcome applications from qualified candidates of all backgrounds and perspectives.
**Contact Us**
If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us. We look forward to hearing from you!
Apply Now
Apply Now