**Concierge Customer Service Representative – Remote Opportunity at arenaflex**

**Job Summary:** Join arenaflex, a leading healthcare solutions provider, as a Concierge Customer Service Representative. As a key member of our team, you will be responsible for delivering exceptional customer service to our clients and members, ensuring their needs are met with professionalism, empathy, and expertise. This is a unique opportunity to grow your career in a dynamic and innovative environment, where you will have the chance to develop your skills, build meaningful relationships, and contribute to the success of our organization. **About arenaflex:** arenaflex is a forward-thinking company that has been a trusted partner to clients for over 35 years. Our mission is to provide innovative and effective solutions that address the complex needs of the healthcare industry. By leveraging our expertise and passion for collaboration, we strive to mitigate risk, improve quality care, and reduce healthcare expenditures for our clients and their members. At arenaflex, we value our employees and offer a comprehensive benefits package, including competitive compensation, Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs. **Job Responsibilities:** As a Concierge Customer Service Representative, you will be responsible for: * Responding to telephone and email inquiries from members and providers within defined service standards * Negotiating with providers to gain acceptance for plans without network agreements and/or out of network providers * Assisting members with benefits and healthcare questions * Documenting all calls received in system-based call log * Providing exceptional customer service, resolving issues, and escalating concerns as necessary * Collaborating with internal teams to ensure seamless communication and resolution of member and provider inquiries * Maintaining accurate and up-to-date records of interactions and resolutions * Participating in ongoing training and professional development to enhance skills and knowledge **Requirements and Qualifications:** * High School Diploma or equivalent required; 2 years of college or higher education preferred * One year of customer service or call center experience in a healthcare-related role * Medical intake or Third-Party Administrator (TPA) experience preferred * Bilingual English-Spanish a plus * Strong customer relations, interpersonal, and communication skills * Ability to handle confidential and sensitive information with discretion and professionalism * Proficient with Microsoft applications and strong computer skills * Excellent data entry and typing skills * Knowledge of provider organizations and networks * Understanding of CMS Medicare reimbursement rates * Ability to effectively negotiate rate structures * Independent judgment in decision making and problem solving * Ability to multi-task and anticipate potential needs/problems * Strong analytical and research skills * Medical terminology knowledge * Strong attention to detail **Preferred Qualifications:** * Experience with claim processing, insurance verification, or pre-certification * Understanding of Self-Funded health benefits * Provider office/facility billing department or financial area experience **Work Environment and Physical Demands:** This position is in a typical office/home office environment, requiring prolonged sitting in front of a computer. You will need to have hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including standard computer and phone equipment. **Compensation and Benefits:** arenaflex offers a competitive compensation package, including: * Hourly rate: $16.00 - $18.00 per hour * 8-hour shift, day shift * Remote work opportunity * Comprehensive benefits package, including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs **How to Apply:** If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and join our team at arenaflex. **Equal Opportunity Employer:** arenaflex is an Equal Opportunity Employer, committed to diversity and inclusion. We welcome applications from qualified candidates who share our values and are passionate about making a difference in the healthcare industry. Apply for this job