Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits Package

At arenaflex, we're committed to delivering exceptional customer service and making a meaningful impact on the lives of individuals across the country. As a rapidly growing national quality improvement and care management organization, we're seeking an experienced Customer Service Representative to join our team. This is a unique opportunity to work from home, enjoy a comprehensive benefits package, and advance your career in a mission-driven organization.

Perks of this Role

• Fully Remote Position: Work from the comfort of your own home with rotational shifts available for EST, CT, or PST.

• Comprehensive Benefits Package: Enjoy full benefits, including medical, dental, vision, and more, effective the first month following your hire date.
• Paid Time Off: Balance your work and personal life with generous paid time off.
• 401k with Match: Grow your retirement savings with a 401k plan that includes a match with no vesting period.
• Career Advancement Opportunities: Join arenaflex to build upon your experience and advance your career in a dynamic and growing organization.

About arenaflex

arenaflex is a national quality improvement and care management organization dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. We're a people-focused, mission-driven organization that cares deeply about our employees and provides the training and support to help you excel in your role.

Our Mission

At arenaflex, we're committed to improving lives through healthcare quality and clinical expertise. We believe that our people are the key to achieving this mission, and we're dedicated to providing a supportive and inclusive work environment that fosters growth and development.

What You'll Do

As a Customer Service Representative, you'll be responsible for:

• Providing Exceptional Customer Service: Interact with beneficiaries and providers via the helpline, responding to their inquiries and concerns in a timely and professional manner.
• Creating and Mailing Correspondence: Type, merge, proof, print, and mail correspondence, ensuring accuracy and attention to detail.
• Fostering Effective Relationships: Develop and maintain effective working relationships between arenaflex's internal and external customers.
• Identifying Areas for Improvement: Participate in Review Team discussions to identify areas for potential improvement and contribute to process enhancements.
• Answering Beneficiary Helpline: Utilize the hunt group and available light functions to answer calls and determine the best course of action to assist callers.
• Maintaining Timeliness: Ensure that all letters are sent out in a timely manner, with correct components included and reviewed for grammatical and spacing errors.
• Validating Notices and Medical Records: Gather and validate notices and all components of medical records.
• Providing Intake for Appeals: Process intake for all appeals received by arenaflex.
• Utilizing Quality Control Tools: Assess individual work and team processes using internal quality control tools.

Qualifications

To be successful in this role, you'll need:

• High School Diploma or Equivalent: A high school diploma or equivalent is required, with post-high school business courses a plus.
• Medical Terminology: Medical terminology is desired, but not required.
• Excellent Verbal Communication Skills: You must be courteous, patient, and customer-oriented, with the ability to maintain composure under potentially stressful situations.
• Good Grammar, Punctuation, and Written Communications Skills: You must have strong written communication skills, with attention to detail and accuracy.
• Customer Focus and Results Orientation: You must be customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers.
• General Knowledge of PC-Based Computer Systems: A general knowledge of PC-based computer systems is desirable, with the ability to learn additional software packages as needed.
• Multi-Tasking and Prioritization: You must be able to multi-task and prioritize assignments effectively.
• Good Organizational Skills: You must have good organizational skills and be able to work independently.

Experience

We're looking for candidates with:

• Two to Three Years of Clerical Experience: Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities.
• Prior Work in a Healthcare Setting: Prior work in a healthcare setting or medical terminology is recommended, with previous data entry or other clerical experience a plus.

Mental and Physical Requirements

The physical demands of this role include:

• Regularly Sitting for Prolonged Periods: You'll be required to sit for prolonged periods of time.
• Keying and/or Controlling Objects: You'll need to key and/or control objects.
• Interacting with Internal and External Customers: You'll interact extensively with internal and external customers.
• Occasional Lifting and/or Moving Objects: You may occasionally lift and/or move objects weighing up to 10 pounds.
• Occasional Travel: You may occasionally travel within the state.

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer, committed to diversity and inclusion. We welcome applications from qualified candidates of all backgrounds and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

How to Apply

If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at arenaflex. Apply for this job