Experienced Customer Service Representative – Healthcare Solutions in Maine

At arenaflex, we're dedicated to empowering better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're a team of passionate individuals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We're looking for an experienced Customer Service Representative to join our growing team in Maine. As a key member of our team, you'll play a vital role in providing exceptional customer service to our clients, resolving their questions, complaints, and requests in a timely and courteous manner.

Job Summary and Responsibilities:

The purpose of this position is to answer incoming telephone calls, and resolve customer questions, complaints, and requests while adhering to internal policies and procedures. As a Customer Service Representative, you'll be responsible for:

• Developing and maintaining working knowledge of internal policies, procedures, and available services to provide accurate information and assistance
• Utilizing automated systems to log and retrieve information; perform accurate and timely data entry
• Receiving inquiries by telephone, email, fax, or mail and communicating responses within required turnaround times
• Responding to telephone inquiries in a prompt, accurate, and courteous manner
• Interacting with external partners such as hospitals, physicians, beneficiaries, or other program recipients
• Performing verification of healthcare services to facilitate payment for received services
• Identifying medical claims meeting CPT/DRG audit criteria and submitting the necessary billing data
• Serving as liaison between the internal and external partners
• Investigating and resolving or reporting provider problems
• Meeting or exceeding standards for call volume and service level per department guidelines
• Initiating cases by collecting and entering demographic, provider, and procedure information into the system
• Completing daily, monthly, and quarterly reports necessary for clinical team operations
• Reading, understanding, and adhering to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualifications:

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

• High School diploma or equivalent
• Minimum of two years of customer service experience
• Strong communication and interpersonal skills
• Ability to work in a fast-paced environment and meet deadlines
• Basic computer skills and knowledge of automated systems
• Familiarity with medical terminology and the health insurance industry
• Ability to work independently and as part of a team

Preferred Qualifications:

* Residence in the state of Maine

• Medical terminology course(s)
• Knowledge of medical terminology
• Knowledge of the health insurance industry including policies and claims assessment processes
• Excellent verbal communication and active listening skills to provide exceptional customer service
• Bilingual in Spanish and English
• Prior scheduling work experience

Why Join arenaflex?

At arenaflex, we're committed to creating a work environment that's supportive, inclusive, and empowering. We believe in investing in our employees and providing them with the tools and resources they need to succeed. As a Customer Service Representative, you'll have the opportunity to:

• Work with a talented and dedicated team of professionals who are passionate about making a difference in the healthcare industry
• Develop your skills and knowledge through ongoing training and professional development opportunities
• Contribute to the success of our organization and make a meaningful impact on the lives of our clients
• Enjoy a comprehensive benefits package that includes health insurance, paid time off, retirement savings, and more
• Take advantage of our corporate wellness program, which includes fitness classes, health coaching, and other resources to support your physical and mental well-being

Benefits:

arenaflex offers a competitive compensation package that includes:

• Pay range: USD $12.68 - USD $20.00 /Hr.
• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness program
• Educational assistance
• Corporate discounts
• And more!

How to Apply:

If you're a motivated and customer-focused individual who is passionate about making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We can't wait to hear from you!

Equal Opportunity Employer:

arenaflex is an Equal Opportunity Employer. We welcome applications from diverse candidates who share our commitment to excellence and our passion for making a difference in the lives of our clients. Apply for this job