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Experienced Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, arenaflex

Work from home Full-time role Hiring

Transforming Healthcare through Exceptional Patient Support

At arenaflex, we're revolutionizing the primary care experience by delivering high-quality care and service to our patients. As a passionate and innovative problem-solver, you'll play a crucial role in managing patient inquiries and delivering world-class care. We're seeking a skilled Customer Service Specialist to join our team, where you'll have the opportunity to cultivate change in healthcare and make a meaningful impact on patients' lives.

Key Responsibilities:

- Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs, including insurance, billing, medical records, authorizations, and referrals. - Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions. - Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, and maintain service level agreements in response time to admins and patients. - Assist admins with our member's billing needs via arenaflex's tasking system to provide the best customer service. - Investigate claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy. - Master arenaflex's technology suite, including RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System, to interact with team members and patients and complete daily work. - Contribute to team development through rounding, attending team huddles, participating in team problem-solving, and supporting all in-office providers with urgent & stat patient needs.

A Day in the Life:

In this role, you'll handle inbound calls from arenaflex patients regarding their medical bills, insurance claims, and payment inquiries. Daily activities include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.

About the Team:

arenaflex's call center team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. Our team has focused on making healthcare more accessible and less complicated for members. We handle billing inquiries with empathy and efficiency. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.

Basic Qualifications:

- 2+ years of customer service experience in a call center environment - 1+ years with medical billing, insurance claims, or healthcare revenue cycle - Demonstrated proficiency in Microsoft Office Suite - Experience using electronic health records (EHR) or customer relationship management (CRM) systems - Knowledge of HIPAA compliance and healthcare privacy regulations - High school diploma or equivalent

Preferred Qualifications:

- Spanish Speaking - Ability to work various shifts - Strong problem-solving and documentation skills - Ability to type 45+ WPM while maintaining accuracy

Compensation and Benefits:

arenaflex is committed to a diverse and inclusive workplace. arenaflex is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $41,600/year in our lowest geographic market up to $45,760/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. arenaflex is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits.

Join Our Team:

If you're passionate about delivering exceptional patient support and making a meaningful impact in healthcare, we encourage you to apply for this exciting opportunity. arenaflex offers a dynamic work environment, opportunities for growth and development, and a chance to be part of a team that's transforming the primary care experience.

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