Experienced Provider Customer Service Call and Chat Representative – Remote in Multiple Locations

At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As a leading health insurance company, we strive to provide exceptional service to our providers, who care for our members. We are seeking an experienced and skilled Provider Customer Service Call and Chat Representative to join our team. This role plays a crucial part in supporting providers by responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat.

About arenaflex

arenaflex is a dynamic and innovative company that is committed to making a positive impact on people's lives. We believe that everyone deserves access to quality healthcare, and we strive to provide our members with the best possible experience. Our team is passionate about delivering exceptional service, and we are looking for like-minded individuals to join us on this journey.

Job Summary

As a Provider Customer Service Call and Chat Representative, you will serve as an advocate for providers, demonstrating accountability and ownership in resolving issues. You will engage with providers in a multi-channel environment, including calls and chats, and will be responsible for triaging contacts from healthcare professionals, understanding their needs, and providing timely resolutions to their inquiries. You will also research and dissect complex prior authorization and claim issues, collaborating with multiple internal partners to ensure effective communication and resolution.

Responsibilities

* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues.

• Service providers in a multi-channel environment including call and concurrent chat as required.
• Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
• Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
• Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction.
• Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
• Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types.
• Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution.

Requirements

* High School Diploma / GED OR equivalent work experience.

• 1+ years of customer service experience with analyzing and solving customer's concerns.
• Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications.
• Ability to type at the speed of greater than or equal to 35 - 40+ WPM with an accuracy of 90%.
• Must be 18 years of age or older.
• Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday.

Nice-to-haves

* Prior health care experience and knowledge of healthcare terminology.

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.

Benefits

* Comprehensive benefits package

• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What We Offer

* A challenging and dynamic work environment with clear direction for success

• Opportunities for professional development and growth
• A comprehensive benefits package, including health, dental, and vision insurance
• Incentive and recognition programs to reward your hard work and dedication
• Equity stock purchase and 401k contribution to help you build a secure financial future
• A collaborative and supportive team environment that values your contributions and ideas

How to Apply

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. We look forward to hearing from you!

Work Environment and Company Culture

arenaflex is a remote-friendly company that values flexibility and work-life balance. Our team is passionate about delivering exceptional service, and we strive to create a positive and supportive work environment that encourages collaboration and innovation. We believe in recognizing and rewarding our employees' hard work and dedication, and we offer a comprehensive benefits package to support their well-being and financial security.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. Our benefits package includes health, dental, and vision insurance, as well as paid time off and holidays. We also offer a range of perks and benefits, including flexible work arrangements, professional development opportunities, and a collaborative and supportive team environment.

Career Growth Opportunities and Learning Benefits

arenaflex is committed to helping our employees grow and develop their careers. We offer a range of learning benefits, including training programs, mentorship opportunities, and professional development resources. Our team is passionate about delivering exceptional service, and we strive to create a positive and supportive work environment that encourages collaboration and innovation.

Conclusion

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. arenaflex is a dynamic and innovative company that is committed to making a positive impact on people's lives. We believe in recognizing and rewarding our employees' hard work and dedication, and we offer a comprehensive benefits package to support their well-being and financial security. Join our team today and be part of a company that is shaping the future of healthcare! Apply for this job