Experienced Customer Service Representative - Healthcare: Navigating Complex Medicare Appeals and Delivering Exceptional Patient Experience

Job Title:

Experienced Customer Service Representative - Healthcare: Navigating Complex Medicare Appeals and Delivering Exceptional Patient Experience

Location:

McLean, VA 22102 (Remote Opportunity)

Duration:

6 Months Contract

Pay Rate:

$17/hr on W2

About arenaflex

arenaflex is a leading provider of innovative healthcare solutions, dedicated to empowering patients and healthcare professionals alike. With a strong commitment to excellence and a passion for delivering exceptional patient experiences, arenaflex has established itself as a trusted partner in the healthcare industry. Our team of experts is driven by a shared vision of improving healthcare outcomes and transforming the lives of those we serve.

Job Summary

arenaflex is seeking an experienced Customer Service Representative to join our dynamic team in McLean, VA. As a key member of our healthcare support team, you will play a vital role in navigating complex Medicare appeals and delivering exceptional patient experiences. If you are a customer-focused individual with a passion for healthcare and a knack for resolving complex issues, we encourage you to apply for this exciting opportunity.

Responsibilities

As a Customer Service Representative at arenaflex, you will be responsible for:

• Developing and maintaining a working knowledge of internal policies, procedures, and services (both departmental and operational)
• Utilizing automated systems to log and retrieve information, and performing accurate and timely data entry of electronic faxes
• Receiving inquiries from customers or providers by telephone, email, fax, or mail and communicating responses within required turnaround times
• Responding to telephone inquiries and complaints in a prompt, accurate, and courteous manner, following standard operating procedures
• Interacting with hospitals, physicians, beneficiaries, or other program recipients, investigating and resolving or reporting customer problems, and identifying and escalating difficult situations to the appropriate party
• Meeting or exceeding standards for call volume and service level per department guidelines
• Initiating files by collecting and entering demographic, provider, and procedure information into the system
• Serving as a liaison between Review Supervisors and external providers
• Maintaining logs and documents disposition of incoming and outgoing calls

Required Skills & Experience

To be successful in this role, you will need:

• A High School diploma or equivalent
• 2+ years of customer service/telephone experience in a similar call center environment and/or industry
• The ability to effectively communicate with team members and external customers
• The ability to research and resolve issues related to Medicaid program and service eligibility

Preferred Skills & Experience

While not required, the following skills and experiences are highly desirable:

• Previous experience in the medical office or other medical setting
• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus)
• Knowledge of CPT and HCPCS codes
• PC proficiency to include Microsoft Office Suite
• Experience with Microsoft programs

Skills and Competencies Required for Success

To excel in this role, you will need to possess:

• Excellent communication and interpersonal skills
• Strong problem-solving and analytical skills
• Ability to work in a fast-paced environment with multiple priorities
• Strong attention to detail and organizational skills
• Ability to maintain confidentiality and handle sensitive information
• Strong technical skills, including proficiency in Microsoft Office Suite and automated systems

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have opportunities to:

• Develop your skills and knowledge in healthcare and customer service
• Work with a dynamic team of experts in the healthcare industry
• Participate in ongoing training and professional development programs
• Take on new challenges and responsibilities as you grow in your role
• Contribute to the success of our organization and make a meaningful impact on the lives of our patients and customers

Work Environment and Company Culture

arenaflex is a remote-friendly organization, offering a flexible and dynamic work environment that allows you to work from the comfort of your own home. Our company culture is built on a foundation of collaboration, innovation, and customer-centricity. We value diversity, equity, and inclusion, and strive to create a workplace that is welcoming and inclusive for all employees.

Compensation, Perks, and Benefits

As a Customer Service Representative at arenaflex, you can expect:

• A competitive hourly rate of $17/hr on W2
• Opportunities for career growth and professional development
• A comprehensive benefits package, including health, dental, and vision insurance
• Paid time off and holidays
• Access to ongoing training and professional development programs
• A dynamic and supportive work environment

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience and qualifications for this role. We look forward to hearing from you!

Contact Information

Preetam Raj Lead Technical Recruiter arenaflex D: 410-505-4857 EXT: 726 E: [email protected] preetam(at)arenaflex(dot)com Apply Job! Apply for this job