Experienced Healthcare Insurance Customer Service Representative – Wisconsin Residents Only
At arenaflex, we're dedicated to providing exceptional customer experiences that exceed expectations. As a key member of our team, you'll play a vital role in delivering top-notch service to our healthcare insurance customers, providers, and brokers. If you're passionate about helping others, have a knack for problem-solving, and thrive in a fast-paced environment, we want to hear from you!
About arenaflex
arenaflex is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through cutting-edge technology, expert guidance, and a commitment to excellence. With a strong presence in the market, we're constantly pushing the boundaries of what's possible in healthcare.
Job Summary
As an Experienced Healthcare Insurance Customer Service Representative, you'll be the first point of contact for our customers, providing timely and accurate responses to their inquiries. Your primary focus will be on resolving issues related to coverage, claim status, benefit interpretation, billing, and authorizations. If you're a Wisconsin resident with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity.
Key Responsibilities
* Answer incoming phone calls efficiently, addressing inquiries on coverage, claim status, benefit interpretation, billing, and/or authorizations.
- Respond to inquiries within set timeframes to adhere to department metrics and contractual standards.
- Probe and ask appropriate questions to identify specifics of caller inquiries, ensuring first call resolution.
- Document details of interactions within the database, including any additional action steps taken as follow-up.
- Follow-up with customers or other departments on outstanding issues or concerns, escalating appropriate issues to Supervisor or relevant individual.
- Support members by answering calls and proactively working to resolve their questions and concerns.
- Strive for first call resolution, working to resolve member issues at the point of contact.
- Utilize dual monitors while leveraging computer-based resources to find answers to customers' questions and help simplify next steps for members.
- Reach out to internal departments or external resources to help resolve member concerns.
- Demonstrate commitment and behavior aligned with the philosophy, mission, values, and vision of arenaflex.
- Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies.
Additional Skills & Qualifications
* Experience working in a call center environment is preferred.
- Knowledge of basic insurance concepts is preferred.
- Intermediate skills in Microsoft Office, including Outlook, Excel, and Word.
- Capacity to multi-task by navigating multiple computer applications and programs simultaneously.
Employee Value Proposition (EVP)
At arenaflex, we're committed to helping you grow and develop your career. Once hired, there are opportunities for advancement outside of the Member Service Rep role. Our comprehensive training program will equip you with the skills and knowledge necessary to excel in this position.
Work Environment
* Remote work arrangement available in Wisconsin.
- Hybrid arrangement available with an in-office stipend equivalent to $100 per week, paid in addition to the hourly rate.
- Initial training period is a 6-8 week program with a work schedule of Monday - Friday from 8:00am - 4:30pm. After training, you can select a Monday - Friday work schedule of either 8:30am to 5:00pm or 9:00am - 5:30pm.
Remote Requirements
* Telecommute work site must be a room with a door that shuts.
- Telecommuting placement will not provide primary care for any individuals during regularly scheduled work hours.
- Reliable internet connection with a minimum of 10 Mbps to accommodate Voice Over Internet Protocol (VOIP).
Pay and Benefits
The pay range for this position is $18.25 - $18.25/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on May 14, 2025.
About arenaflex
arenaflex is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through cutting-edge technology, expert guidance, and a commitment to excellence. With a strong presence in the market, we're constantly pushing the boundaries of what's possible in healthcare.
Equal Opportunity Employer
arenaflex is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you're a motivated and customer-focused individual looking for a challenging and rewarding opportunity, we encourage you to apply for this exciting role. Join our team at arenaflex and help us deliver exceptional customer experiences that exceed expectations! Apply for this job