Experienced Healthcare Customer Service Representative – Remote Opportunity for California Residents

At arenaflex, we're dedicated to delivering exceptional healthcare services to our members and providers. As a leading provider of managed healthcare, pharmacy benefits, and specialty areas for managed care organizations, employers, and government agencies, we're seeking an accomplished Healthcare Customer Service Representative to join our team.

About arenaflex

arenaflex is a US Fortune 500 company that's passionate about making a positive impact on people's lives. With a commitment to excellence and a focus on innovation, we're constantly striving to improve the healthcare experience for our members and providers. As a remote-based organization, we offer the flexibility and work-life balance that our employees deserve.

Job Summary

We're seeking a highly skilled and compassionate Healthcare Customer Service Representative to support our members and providers by delivering an exceptional service experience through inbound and outbound call handling, benefit inquiries, and care facilitation. This role is critical to ensuring seamless access to healthcare services, benefits clarification, and proper documentation across internal systems.

Key Responsibilities

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

• Providing service to members, providers, and clients regarding healthcare benefits, claims, eligibility, and program inquiries
• Handling high-volume inbound and outbound calls while maintaining PHI confidentiality
• Educating providers on EAP services, authorization status, and claim details
• Navigating internal systems to log and update patient/caller information accurately
• Participating in training, remaining up-to-date with operational changes, and supporting continuous improvement
• Demonstrating compassion, flexibility, and responsiveness to customer needs and inquiries
• Assisting in identifying and escalating crises or critical issues when necessary
• Supporting team engagement and assisting with performance and quality improvement initiatives

Must-Have Skills

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

• 2+ years of customer service experience (preferably in a call center setting)
• Adequate hardwired internet connection (minimum 100–300 Mbps; no Wi-Fi or hotspots)
• Secluded and distraction-free workspace
• Strong communication, documentation, and organizational skills

Nice-to-Have Skills

While not required, having the following skills will make you a strong candidate:

• Healthcare background (e.g., UnitedHealthcare, Kaiser, Caremark)
• HIPAA knowledge
• Familiarity with benefit administration or EAP support

Education

We require a High school diploma or GED, and an Associate's degree is preferred.

Work Schedule

As a remote-based organization, we offer flexible scheduling to accommodate your needs. Our standard work schedule is:

• Start time: 8:00 or 8:30am
• End time: 4:30 or 5pm
• First 26 days on assignment consist of training and introduction to the role

Why Join arenaflex?

At arenaflex, we're committed to creating a positive and inclusive work environment that supports the growth and development of our employees. As a Healthcare Customer Service Representative, you'll have the opportunity to:

• Work with a dynamic and supportive team
• Develop your skills and knowledge in a fast-paced and ever-changing industry
• Make a real difference in the lives of our members and providers
• Enjoy a competitive compensation package and comprehensive benefits
• Take advantage of our employee recognition and reward programs

What We Offer

As a valued member of our team, you'll enjoy:

• Competitive hourly rate
• Comprehensive benefits package (medical, dental, vision, and 401(k))
• Paid time off and holidays
• Opportunities for professional growth and development
• Recognition and reward programs

How to Apply

If you're a motivated and compassionate individual who is passionate about delivering exceptional customer service, we'd love to hear from you. Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you!

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. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Applicants with criminal histories are considered in a manner that is consistent with local, state, and federal laws. Apply to this Job Apply for this job