Experienced Medical Claims Customer Service Representative – Remote Healthcare Support
At arenaflex, we're revolutionizing the healthcare industry by harnessing the power of data-driven insights, AI, and predictive analytics. Our mission is to make high-quality healthcare accessible, enhance patient health, and renew the satisfaction of practicing medicine for healthcare providers. By integrating empathy with cutting-edge technology, we're fostering stronger connections between patients and providers, empowering our partners to deliver exceptional healthcare that prioritizes outcomes and value for all patients.
Join Our Team
As a Customer Service Representative at arenaflex, you'll play a vital role in our team, ensuring timely and effective responses to client and member calls. Your role involves solving problems, working collaboratively, and meeting quality standards. You'll provide courteous and professional service while handling various tasks and projects, including mailing assistance. If you're passionate about delivering exceptional customer experiences and have a background in healthcare, we'd love to hear from you.
Key Responsibilities
* Handle client and member calls with accuracy and follow-through, ensuring timely and effective responses to their inquiries.
- Deliver outstanding customer service, addressing inquiries related to claims payment, status, and coverage information.
- Interpret client health plan protocols, providing clear and concise information to clients and members.
- Assist with claims processing tasks, including reports and workflow queues, ensuring seamless communication between teams.
- Document calls accurately and maintain high professionalism, adhering to arenaflex's quality standards.
- Return incoming calls and perform additional duties as assigned by your supervisor.
What You'll Need
* 1 to 3 years of customer service experience in healthcare, with a strong understanding of healthcare claims processing.
- Knowledge of healthcare claims processing, including experience in a high-volume call center.
- Background in healthcare or health insurance, with familiarity with BCBS HMOI or other insurance plans a plus.
- Proficiency in Microsoft Office and multiple systems, with excellent verbal and written communication skills.
- Availability for an 8-hour shift between 8 AM and 6 PM Central Time.
What We'd Love
* Experience with HMO Managed Care and Medicare Advantage, with a strong understanding of healthcare regulations and compliance.
- Additional certifications or training in customer service, healthcare, or a related field.
Benefits
At arenaflex, we're committed to supporting you and your family with a comprehensive range of benefits, including:
- Work from Home: Enjoy the flexibility of a fully remote position, reducing commute time and allowing you to focus on your professional and personal goals.
- Health Coverage: Comprehensive Medical, Dental, and Vision plans to keep you and your family well-covered.
- Retirement Planning: Our 401(k) plan includes a 3% employer match on your 6% contribution.
- Peace of Mind: Life and Disability insurance, with optional additional coverage for you and your loved ones.
- Support During Tough Times: Access our Employee Assistance Program (EAP) for extra support.
- Flexible Time Off: Tailored PTO to help you achieve work-life balance and meet personal goals.
- Paid Parental Leave: Time off to support you when welcoming a new family member.
- Professional Growth: Resources and opportunities dedicated to your career development.
Compensation
The base pay range for this role is between $18.45 and $20.50 per hour, paid bi-weekly. Final pay rates are based on factors such as skill set, relevant experience, education, location, and certifications.
Equal Opportunity Employment
At arenaflex, we're committed to diversity, inclusion, and belonging. We're an equal opportunity employer and make employment decisions without regard to race, religion, color, age, sex, sexual orientation, gender identity, national origin, citizenship, marital status, familial status, disability, military or veteran status, pregnancy, or any other protected status. We ensure fair treatment in all aspects of employment.
Security Policies
This role involves adhering to all security policies and procedures to protect all PHI and intellectual properties. Specific responsibilities for security-related roles will be defined by the hiring manager.
Employment Type
This is a full-time position, with a regular schedule of 8 hours per day, 5 days per week. If you're passionate about delivering exceptional customer experiences and have a background in healthcare, we'd love to hear from you. Apply now to join our team at arenaflex and start making a difference in the lives of our clients and members. Apply Job! Apply for this job