Experienced Customer Service Representative - Healthcare Call Center (Remote)

Join arenaflex in a dynamic and rewarding role as an Experienced Customer Service Representative in our Healthcare Call Center. As a key member of our remote team, you will play a vital role in delivering exceptional customer service to our members and providers, ensuring timely resolution of issues, and contributing to the success of our organization.

About arenaflex

arenaflex is a leading provider of innovative healthcare solutions, dedicated to improving the lives of our members and providers. With a strong commitment to excellence, we strive to create a positive and supportive work environment that fosters growth, learning, and collaboration. Our remote team is a key part of our organization, and we are seeking a highly skilled and motivated individual to join our ranks.

Job Summary

We are seeking an Experienced Customer Service Representative to join our remote team in Florida. As a key member of our call center, you will be responsible for providing exceptional customer service to our members and providers, resolving issues in a timely and efficient manner, and contributing to the success of our organization. If you have a passion for delivering outstanding customer service, a strong background in healthcare, and excellent communication skills, we encourage you to apply for this exciting opportunity.

Responsibilities

As an Experienced Customer Service Representative, you will be responsible for the following key responsibilities:

• Assist in resolving missed visits or missed supplies: Reach out to providers for status updates and authorizations, as needed, to ensure timely resolution of issues.
• Assist with all LTC (Member/Provider) calls: Focus on one call resolution and answer calls in a timely manner to ensure member satisfaction and provider engagement.
• Review authorizations and assist with correcting authorizations: Ensure that authorizations match the PCCP (Provider Contracting and Credentialing Process) to maintain accurate and up-to-date records.
• Triage and route calls correctly: Unless the member or provider insists on speaking with a CC (Customer Care) representative, try to resolve issues brought up by the caller before routing the call to CC or Sup (Supervisor).

Performance Expectations

As an Experienced Customer Service Representative, you will be expected to meet the following performance expectations:

• Call Center metrics: Achieve a minimum of 95% or above in Talk time, Hold, Aftercall, Schedule Adherence, and Call Quality scores.
• Schedule Adherence: Meet or exceed schedule adherence targets to ensure timely and efficient service delivery.

Qualifications and Skills

To be successful in this role, you will need to possess the following qualifications and skills:

• Call Center experience: A minimum of 2-3 years of experience in a call center environment, with a strong background in customer service.
• Managed care or physician's office experience: A minimum of 2-3 years of experience in managed care or a physician's office setting, with a strong understanding of healthcare terminology and concepts.
• Medical terminology: A strong understanding of medical terminology and concepts, with the ability to apply this knowledge in a customer service setting.
• Typing skills: Excellent typing skills, with the ability to type at least 40 words per minute.
• LTC/Medical Authorization experience: A minimum of 2-3 years of experience in LTC (Long-Term Care) or medical authorization, with a strong understanding of authorization processes and procedures.
• Outlook, Word, and Microsoft Windows: Proficiency in Outlook, Word, and Microsoft Windows, with the ability to navigate and utilize these applications in a customer service setting.
• High School Diploma or equivalent: A high school diploma or equivalent, with a strong commitment to ongoing learning and professional development.

Benefits and Perks

As an Experienced Customer Service Representative at arenaflex, you will enjoy a range of benefits and perks, including:

• Competitive pay rate: A competitive pay rate of $19.50 per hour, with opportunities for overtime and bonuses.
• Remote work flexibility: The opportunity to work from home in a remote setting, with flexible scheduling and work arrangements.
• Opportunities for growth and development: A range of opportunities for growth and development, including training, mentorship, and career advancement.
• Collaborative and supportive work environment: A collaborative and supportive work environment, with a strong focus on teamwork and communication.

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds, and are dedicated to creating a positive and supportive work environment that fosters growth, learning, and collaboration. Apply for this job