Experienced Customer Service Representative - Remote Full-Time Opportunity with Competitive Hourly Rate and Comprehensive Benefits at arenaflex

Introduction to arenaflex At arenaflex, we are driven by a singular, clear purpose: to bring our heart to every moment of our customers' healthcare. This purpose guides our commitment to delivering enhanced, human-driven healthcare for a rapidly changing world. Embedded in our brand — with heart at its center — our mission sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose, empowering every individual who works at arenaflex to feel enabled by the role they play in transforming our culture and accelerating our ability to grow and deliver solutions to make healthcare more personal, convenient, and affordable. Job Overview We are seeking an experienced Customer Service Representative to join our team at arenaflex. As the face of our company, you will influence our customers' service experience by handling customer care requests and issues via phone, web, or written correspondence. Your ability to engage, consult, and educate our customers based on their unique needs, preferences, and understanding of our plans, tools, and resources will be crucial in guiding them along a path to care. This is a full-time, remote opportunity with a competitive hourly rate and comprehensive benefits. Key Responsibilities Respond to questions and resolve issues based on calls/letters from customers, providers, and plan sponsors. Escalate emergencies to appropriate staff and record and track contacts with customers, providers, and plan sponsors. Guide customers through their plan of benefits, arenaflex policy, and procedures, as well as knowledge of resources to comply with any regulatory requirements. Make a personal connection with our customers by understanding and engaging them to the fullest to support their best health. Take ownership to understand the customer's needs by building a trusting and caring relationship with them completely. Anticipate customer needs and provide relevant information to address unasked questions, such as additional plan details, benefit plan details, customer self-service tools, etc. Utilize customer support limit system to make financial decisions to resolve customer issues. Explain customer limitations as per contract. Process claim referrals, new case handoffs, nurse reviews, complaints (customer/provider), and appeals (customer/provider) via target system. Educate providers on our self-service options and assist providers with credentialing and re-credentialing issues. Answer demands received from arenaflex's Regulation Record Place regarding litigation and claims, and handle broad document review demands. Aid in the preparation of complaint pattern reports and assist with incorporating claim data for customer reviews. Determine clinical needs, relevant coverage policies, and verify customer plan eligibility related to incoming communication and internal referrals. Handle incoming requests for authorizations and pre-approvals not handled by Clinical Case Management. Perform review of customer claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Perform financial data entry as needed. Utilize relevant system tools and resources to create quality letters and spreadsheets in response to requests received. Essential Qualifications Bachelor's degree required. Customer service experience in a transaction-based environment, such as a call center or retail store, preferred, demonstrating ability to be empathetic and compassionate. Experience in a production environment. Ability to multitask to efficiently accomplish tasks. Understanding of medical terminology. Effective oral and written communication skills. Proficient in Microsoft Word and Outlook. Ability to maintain accuracy and production standards. Interpersonal skills. Technical skills. Problem-solving skills. Attention to detail and accuracy. Preferred Qualifications Previous experience in a customer-facing role, preferably in a healthcare or insurance setting. Knowledge of healthcare plans, policies, and procedures. Experience with customer relationship management (CRM) software. Certification in customer service or a related field. Career Growth Opportunities and Learning Benefits At arenaflex, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to training and development programs, as well as opportunities for advancement within the company. You will be part of a dynamic team that is passionate about delivering exceptional customer service and making a positive impact on the lives of our customers. Work Environment and Company Culture Our company culture is built on the values of compassion, integrity, and excellence. We believe in creating a work environment that is supportive, inclusive, and empowering. As a remote employee, you will be part of a virtual team that is connected through technology and shared goals. You will have the flexibility to work from the comfort of your own home, with the support of a dedicated team and the resources you need to succeed. Compensation, Perks, and Benefits We offer a competitive hourly rate of $30-$41 per hour, as well as a comprehensive benefits package that includes medical, dental, and vision coverage. You will also be eligible for our 401(k) retirement savings plan, employee stock purchase plan, and other perks, such as paid time off, holidays, and employee discounts. We believe in taking care of our employees, both personally and professionally, and we are committed to providing a positive and supportive work environment. Conclusion If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at arenaflex, you will be part of a dynamic team that is dedicated to making a positive impact on the lives of our customers. You will have the opportunity to grow and develop your skills, while working in a supportive and inclusive environment. Don't miss out on this chance to join our team and start your career with arenaflex today! Apply for this job