Experienced Customer Service Government Programs Training and Support Specialist – Oral Health Benefits Administration

At arenaflex, we strive to improve oral health through innovative benefit plans, advocacy, and community support. As a leading dental plan administrator in the country, we are part of the arenaflex Plans Association, which operates two of the largest dental networks in the nation. Our mission is to build healthy, smart, vibrant communities for all, and we amplify this vision by investing in initiatives that promote overall well-being. At arenaflex, we celebrate our All In culture – a mindset, feeling, and attitude that guides everything we do. From taking charge of our careers to helping colleagues and lending a hand in the community, we foster an environment where everyone feels valued, supported, and empowered to make a difference.

Job Summary:

We are seeking an experienced Customer Service Government Programs Training and Support Specialist to join our team. As a key member of our Government Programs department, you will provide day-to-day support to internal and external customers by resolving complex claims, inquiries, grievances, and appeals. You will also develop and conduct training programs for our employees on department systems, processes, and corporate policies. If you have a passion for delivering exceptional customer service, a knack for training and development, and a commitment to excellence, we encourage you to apply for this exciting opportunity.

Primary Job Responsibilities:

* Serves as primary CSR support to assist with detailed interpretation of dental policies, procedure codes, claims processing, Medicare Advantage/Medicaid compliance guidelines, and policies and procedures.

• Researches, analyzes, adjudicates, and makes appropriate determinations on difficult claims and inquiries.
• Develops, coordinates, and conducts new-hire onboarding and training, as well as periodic refresher and training on new functionality and processes.
• Researches and implements training programs using various methods of instruction.
• Identifies, creates, and maintains government programs training and support specialist processes and procedures.
• Prescreens claims and inquiries for the Professional Review and Focused Review departments.
• Communicates with other departments to identify and troubleshoot potential processing and/or system issues.
• Collaborates with department management, quality assurance specialists, and reporting specialists to identify process improvements, department trends, and training needs.

Essential Qualifications:

* One year of college, technical, vocational, or business school with coursework in dental assisting or dental hygiene, business administration, and composition.

• Two years of related work experience, preferably in a dental or insurance-related field.
• Previous Medicare and/or Medicaid experience is highly desirable.
• Intermediate knowledge of word processing and spreadsheets.
• Knowledge of dental terminology, procedures, insurance products, and claims processing.
• Ability to analyze and resolve complex problems.
• Ability to identify, research, and resolve customer complaints/issues.
• Excellent verbal and written communication and organization skills.
• Ability to work independently and make informed decisions quickly.
• Ability to work flexible hours, including some weekends.

Preferred Qualifications:

* Advanced knowledge of Microsoft Office, particularly Excel and Word.

• Experience with training content development and procedure writing.
• Familiarity with dental software and systems.
• Strong analytical and problem-solving skills.
• Ability to multitask and prioritize tasks effectively.
• Experience working in a fast-paced, dynamic environment.

Skills and Competencies:

* Excellent communication and interpersonal skills.

• Strong analytical and problem-solving skills.
• Ability to work independently and make informed decisions quickly.
• Strong organizational and time management skills.
• Ability to multitask and prioritize tasks effectively.
• Experience working in a fast-paced, dynamic environment.
• Strong attention to detail and accuracy.
• Ability to maintain confidentiality and handle sensitive information.

Career Growth Opportunities and Learning Benefits:

At arenaflex, we believe in investing in our employees' growth and development. As a Customer Service Government Programs Training and Support Specialist, you will have opportunities to:

• Develop your skills and expertise in training and development, customer service, and government programs.
• Collaborate with cross-functional teams to identify process improvements and implement new initiatives.
• Participate in ongoing training and professional development programs to enhance your knowledge and skills.
• Take on new challenges and responsibilities as you grow and develop in your role.
• Enjoy a dynamic and supportive work environment that fosters creativity, innovation, and collaboration.

Work Environment and Company Culture:

At arenaflex, we pride ourselves on our inclusive and supportive work environment. Our office is designed to promote collaboration, creativity, and productivity, with amenities such as:

• Flexible work arrangements, including remote work options.
• Comprehensive benefits package, including medical, dental, and vision insurance.
• 401(k) retirement plan with company match.
• Paid time off and holidays.
• Professional development opportunities and training programs.
• Recognition and reward programs for outstanding performance.

Compensation, Perks, and Benefits:

We offer a competitive salary and benefits package, including:

• A comprehensive benefits package, including medical, dental, and vision insurance.
• 401(k) retirement plan with company match.
• Paid time off and holidays.
• Professional development opportunities and training programs.
• Recognition and reward programs for outstanding performance.

How to Apply:

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

Equal Employment Opportunity:

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and supportive work environment that values diversity, equity, and inclusion. Apply for this job