**Experienced Healthcare Customer Service Advocate – Remote Opportunity at arenaflex**
**Join arenaflex and embark on a fulfilling career in healthcare, where you'll play a vital role in delivering exceptional customer service to our clients and their members. As a valued member of our team, you'll have the opportunity to make a meaningful impact in the lives of those we serve.**
**About arenaflex:**
arenaflex is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. With a mission to enhance engagement and satisfaction with plans' members and providers, we've established ourselves as a trusted partner to over 70 health plans across the country. Our innovative workflow technology platform, JetStreamTM, enables us to provide seamless claims processing services, including digital transformation, claims adjudication, and member and provider engagement services.
**The Role:**
As a Healthcare Customer Service Advocate at arenaflex, you'll be responsible for providing exceptional customer service to our clients and their members. You'll be the primary point of contact for inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Your expertise in healthcare terminology, including ICD-9 and ICD-10 coding, will enable you to accurately and efficiently read and relay information to members.
**Key Responsibilities:**
* **Member and Provider Support:** Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.
* **Application Processing:** Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
* **Data Entry and Management:** Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
* **Multitasking:** Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
* **Quality Assurance:** Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
* **Collaboration:** Coordinate with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
* **Process Improvement:** Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.
**Job Description:**
* **Handle Customer Service Inbound Calls:** Receive and respond to calls primarily from members, providers, and occasionally other health plans. Provide information on the status of authorization requests, including both inpatient and outpatient services. Maintain a high level of professionalism and customer service in all interactions. Resolve issues promptly and effectively, ensuring customer satisfaction.
* **Authorization Management:** Address and manage re-direct requests. Handle requests to re-fax authorization documents as needed.
* **Lines of Business:** General Membership, Health Plan Providers, ETC.
* **Documentation and Compliance:** Accurately document call interactions and outcomes in the appropriate systems. Ensure compliance with all relevant regulations and guidelines.
**Qualifications:**
* **Educational Background:** High School Diploma or General Education Degree (GED) required.
* **Technical Skills:**
+ At least one 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field
+ Healthcare Medical Terminology
+ Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
+ Experience with CRM systems or membership databases
+ Strong typing and data entry skills, with the ability to manage multiple systems simultaneously
+ Must be able to clear a background check
* **Other Qualifications:**
+ **Attention to Detail:** Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency.
+ **Multitasking Ability:** Proven track record of effectively managing multiple tasks and priorities in a busy work environment.
+ **Communication Skills:** Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members.
+ **Problem-Solving Skills:** Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively.
+ **Customer Service Orientation:** A passion for delivering exceptional service to clients and their members, aligning with arenaflex's commitment to excellence.
**Work from Home Requirements:**
* **High Speed Internet:** 25MBPS download and 5MBPS upload. You will be required to provide proof of a speed test.
* **Ability to Directly Hardwire Equipment:** To your modem
* **Quiet Dedicated Work Area:** Required to have a quiet dedicated work area.
**What We Offer:**
* **Paid Training Period:** Comprehensive training to ensure your success in the role.
* **Medical, Dental, Life, Vision, HSA, 401K:** Competitive benefits package to support your well-being.
* **PTO:** Generous paid time off to recharge and relax.
* **Equipment Provided:** State-of-the-art equipment to enhance your productivity.
**Equal Employment Opportunity:**
arenaflex is an equal employment opportunity employer and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
**Apply Now:**
Ready to embark on a fulfilling career in healthcare? Apply now to become a Healthcare Customer Service Advocate at arenaflex.
Apply Now
**About arenaflex:**
arenaflex is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. With a mission to enhance engagement and satisfaction with plans' members and providers, we've established ourselves as a trusted partner to over 70 health plans across the country. Our innovative workflow technology platform, JetStreamTM, enables us to provide seamless claims processing services, including digital transformation, claims adjudication, and member and provider engagement services.
**The Role:**
As a Healthcare Customer Service Advocate at arenaflex, you'll be responsible for providing exceptional customer service to our clients and their members. You'll be the primary point of contact for inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Your expertise in healthcare terminology, including ICD-9 and ICD-10 coding, will enable you to accurately and efficiently read and relay information to members.
**Key Responsibilities:**
* **Member and Provider Support:** Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.
* **Application Processing:** Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
* **Data Entry and Management:** Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
* **Multitasking:** Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
* **Quality Assurance:** Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
* **Collaboration:** Coordinate with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
* **Process Improvement:** Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.
**Job Description:**
* **Handle Customer Service Inbound Calls:** Receive and respond to calls primarily from members, providers, and occasionally other health plans. Provide information on the status of authorization requests, including both inpatient and outpatient services. Maintain a high level of professionalism and customer service in all interactions. Resolve issues promptly and effectively, ensuring customer satisfaction.
* **Authorization Management:** Address and manage re-direct requests. Handle requests to re-fax authorization documents as needed.
* **Lines of Business:** General Membership, Health Plan Providers, ETC.
* **Documentation and Compliance:** Accurately document call interactions and outcomes in the appropriate systems. Ensure compliance with all relevant regulations and guidelines.
**Qualifications:**
* **Educational Background:** High School Diploma or General Education Degree (GED) required.
* **Technical Skills:**
+ At least one 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field
+ Healthcare Medical Terminology
+ Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
+ Experience with CRM systems or membership databases
+ Strong typing and data entry skills, with the ability to manage multiple systems simultaneously
+ Must be able to clear a background check
* **Other Qualifications:**
+ **Attention to Detail:** Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency.
+ **Multitasking Ability:** Proven track record of effectively managing multiple tasks and priorities in a busy work environment.
+ **Communication Skills:** Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members.
+ **Problem-Solving Skills:** Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively.
+ **Customer Service Orientation:** A passion for delivering exceptional service to clients and their members, aligning with arenaflex's commitment to excellence.
**Work from Home Requirements:**
* **High Speed Internet:** 25MBPS download and 5MBPS upload. You will be required to provide proof of a speed test.
* **Ability to Directly Hardwire Equipment:** To your modem
* **Quiet Dedicated Work Area:** Required to have a quiet dedicated work area.
**What We Offer:**
* **Paid Training Period:** Comprehensive training to ensure your success in the role.
* **Medical, Dental, Life, Vision, HSA, 401K:** Competitive benefits package to support your well-being.
* **PTO:** Generous paid time off to recharge and relax.
* **Equipment Provided:** State-of-the-art equipment to enhance your productivity.
**Equal Employment Opportunity:**
arenaflex is an equal employment opportunity employer and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
**Apply Now:**
Ready to embark on a fulfilling career in healthcare? Apply now to become a Healthcare Customer Service Advocate at arenaflex.
Apply Now