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 provider of health care services, 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 who care for our members, ensuring they receive the best possible care and experience. As a Provider Customer Service Call and Chat Representative, you will be the 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. In this role, you will research and dissect complex prior authorization and claim issues, collaborating with multiple internal partners to ensure effective communication and resolution.

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 health care, and we are dedicated to simplifying the health care experience for our members. Our team is passionate about delivering exceptional service and creating healthier communities.

Responsibilities

As a Provider Customer Service Call and Chat Representative, your key responsibilities will include:

• Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues
• Serving providers in a multi-channel environment, including call and concurrent chat as required
• Quickly and appropriately triaging contacts from healthcare professionals (i.e., physician offices, clinics, billing offices)
• Seeking 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)
• Researching and dissecting complex prior authorization and claim issues and taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction
• Collaborating 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
• Influencing providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution

Requirements

To be successful in this role, you will need to meet the following 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

While not required, the following qualifications would be beneficial:

• 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

As a Provider Customer Service Call and Chat Representative at arenaflex, you will enjoy a comprehensive benefits package, including:

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Career Growth Opportunities and Learning Benefits

arenaflex is committed to the growth and development of our employees. As a Provider Customer Service Call and Chat Representative, you will have opportunities to learn and grow with our company, including:

• 12 weeks of paid training, conducted virtually from home, with training hours set from 8:00 AM to 4:30 PM CST, Monday through Friday
• Opportunities for professional development and advancement within the company
• Access to training and development programs to enhance your skills and knowledge

Work Environment and Company Culture

arenaflex is a dynamic and innovative company that values diversity, equity, and inclusion. Our company culture is built on the principles of collaboration, innovation, and customer-centricity. As a Provider Customer Service Call and Chat Representative, you will be part of a team that is passionate about delivering exceptional service and creating healthier communities.

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 company culture values work-life balance, and we offer flexible scheduling and remote work options to support our employees' needs.

Conclusion

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for the Provider Customer Service Call and Chat Representative role at arenaflex. As a member of our team, you will have the opportunity to make a positive impact on people's lives, grow and develop your skills and knowledge, and enjoy a comprehensive benefits package and competitive compensation. Apply now to join our team and start your career journey with arenaflex! Apply Job! Apply for this job