Experienced Customer Service Representative – Remote Full-Time Opportunity with Competitive Hourly Rate at arenaflex

Introduction to arenaflex At arenaflex, we share a singular, clear purpose: bringing our heart to every moment of your health. This purpose guides our commitment to deliver 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 each 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 guide them along a path to better care. 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. 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 integrating 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 generate quality letters and spreadsheets in response to requests received. Essential Qualifications To be successful in this role, you will need: A Bachelor's Degree. Customer service experience in a transaction-based environment, such as a call center or retail store, with a proven 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. Proficiency with Microsoft Word and Outlook. Ability to maintain accuracy and production standards. Strong communication and technical skills. Problem-solving abilities. Attention to detail and accuracy. Preferred Qualifications While not required, the following qualifications are preferred: Prior experience in a customer-facing role, particularly in a healthcare or insurance setting. Knowledge of customer service software and technology. Experience working in a fast-paced, dynamic environment. 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 a range of training and development opportunities to help you build your skills and advance your career. Our comprehensive training program will provide you with the knowledge and tools you need to succeed in your role, and our ongoing coaching and feedback will help you continue to grow and develop as a professional. Work Environment and Company Culture At arenaflex, we pride ourselves on our positive and supportive work environment. Our company culture is built on a foundation of respect, empathy, and compassion, and we are committed to creating a workplace where everyone feels valued and empowered to contribute. As a Customer Service Representative, you will be part of a dynamic and diverse team that is passionate about delivering exceptional customer service and making a positive impact on our customers' lives. Compensation, Perks, and Benefits We offer a competitive hourly rate of $30-$41 per hour, as well as a range of benefits and perks to support your overall well-being. These include: A comprehensive benefits package, including medical, dental, and vision coverage. A 401(k) retirement savings plan with company match. A employee stock purchase plan. Paid time off and holidays. Access to a range of wellness programs and employee discounts. Conclusion 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 to join our team at arenaflex. As a Customer Service Representative, you will play a critical role in shaping our customers' experience and making a positive impact on their lives. Don't miss out on this chance to join a dynamic and growing company that is committed to making a difference in the lives of our customers and our communities. Apply for this job