Experienced IFP Customer Service Advocate – National Remote Opportunity

At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As an IFP Customer Service Advocate, you will play a crucial role in this mission by assisting customers with their health benefits inquiries. This position allows you to work remotely from anywhere in the U.S., providing you with the flexibility to balance your work and personal life while making a significant impact on the lives of millions. You will be responsible for answering incoming calls from customers, addressing their questions about health benefits, and guiding them through the enrollment process for new plans. This role is not just about answering questions; it’s about being an advocate for our customers and ensuring they receive the support they need.

About arenaflex

arenaflex is a leading health care organization that is committed to providing innovative solutions to simplify the health care experience. Our mission is to create healthier communities by empowering individuals to take control of their health and well-being. We believe that every individual deserves access to quality health care, and we are dedicated to making this a reality. As an IFP Customer Service Advocate, you will be part of a team that is passionate about making a difference in the lives of our customers.

Responsibilities

As an IFP Customer Service Advocate, you will be responsible for:

• Answering incoming phone calls from customers and identifying the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs))
• Asking appropriate questions and listening actively to identify specific questions or issues while documenting required information in computer systems
• Owning problems through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
• Reviewing and researching incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifying the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
• Ensuring that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)
• Communicating and collaborating with members and providers to resolve issues, using clear, simple language to ensure understanding
• Meeting the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction, and attendance

Requirements

To be successful in this role, you will need:

• A High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of customer service experience
• Ability to work full-time, Monday - Friday between 7:00am - 6:00pm CST including the flexibility to work occasional overtime given the business need

Nice-to-haves

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

• Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
• Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)
• Sales or account management experience
• Bilingual fluency in English and Spanish

Benefits

As an IFP Customer Service Advocate 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

arenaflex is committed to the growth and development of our employees. As an IFP Customer Service Advocate, you will have opportunities to advance your career and take on new challenges. Our training program is designed to equip you with the skills and knowledge you need to succeed in this role, and we offer ongoing support and development opportunities to help you achieve your career goals.

Work Environment and Company Culture

arenaflex is a dynamic and supportive work environment that values diversity, equity, and inclusion. We are committed to creating a workplace culture that is inclusive, respectful, and supportive of all employees. As an IFP Customer Service Advocate, you will be part of a team that is passionate about making a difference in the lives of our customers.

Compensation and Perks

arenaflex offers competitive compensation and benefits packages to our employees. As an IFP Customer Service Advocate, you will enjoy a salary range of $40,000 - $60,000 per year, depending on experience and qualifications. You will also be eligible for incentive and recognition programs, equity stock purchase, and 401k contribution.

How to Apply

If you are passionate about making a difference in the lives of our customers and are looking for a challenging and rewarding career opportunity, we encourage you to apply for the IFP Customer Service Advocate position at arenaflex. Please submit your application through our website, including your resume and a cover letter outlining your qualifications and experience. We look forward to hearing from you! Apply Now! Apply for this job