Experienced Customer Service Representative – Physician Advisory Services

At arenaflex, we're dedicated to providing exceptional customer service and support to our clients in the healthcare and insurance industries. As a Customer Service Representative in our Physician Advisory Services team, you'll play a vital role in ensuring the smooth operation of our business, providing top-notch support to our clients, and contributing to the success of our organization.

About arenaflex

arenaflex is a fast-paced, Inc. 500 Company with a high-performance culture, seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

Job Summary

We're looking for a highly skilled and motivated Customer Service Representative to join our Physician Advisory Services team. As a Customer Service Representative, you'll be responsible for handling the receipt of new cases, ensuring proper system drafting and setup, and facilitating the case assignment/scheduling process. You'll work closely with clients to ensure their needs are met, and provide exceptional support to our team members.

Available Shifts

We offer a variety of shifts to accommodate your schedule:

• 9:30 am - 6:00 pm EST
• 10:00 am - 6:30 pm EST
• Tuesday - Saturday 10:00 am - 6:30 pm EST

Major Duties & Responsibilities

As a Customer Service Representative, you'll be responsible for:

• Handling the receipt of new cases:

+ Intake new cases and review/verify information and requests + Draft cases by entering information into the arenaflex system, AccessDS + Work with clients on any information missing pertinent to processing claim + Sort, organize, and create medical document listings - if required by client, and in line with specific special handling

• Assignment of Cases:

+ Assign/schedule new cases to physicians for review with the appropriate physician, based on location, reviewer availability, specific guidelines, jurisdictional requirements, and other client requirements + Ensure that the assigned physician has no conflict of interest with the case assignment

• Oversight of Cases:

+ Monitor, process, and track cases to ensure we meet deadlines

• Client Interaction:

+ Update clients frequently on cases in progress + May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer + Ensure proper documentation for specified cases is provided to the client

• Other duties & special projects, as assigned and based on business needs

Requirements

* EDUCATION/CREDENTIALS: + An Associate’s Degree is preferred

• JOB RELEVANT EXPERIENCE:

+ Business experience in a healthcare and/or insurance setting is preferred

• JOB RELATED SKILLS/COMPETENCIES:

+ Present exceptional communication skills with a clear understanding of company business lines + The ability to apply critical thinking, manage time efficiently, and meet specific deadlines + Computer literacy and typing skills are essential

Working Conditions/Physical Demands

* Any lifting, bending, traveling, etc. required to do the job duties listed above

• Long periods of sitting and computer work

Work from Home Technical Requirements

* Supply and support their own internet services

• Maintaining an uninterrupted internet connection is a requirement of all work from home positions

Benefits

Join our team at arenaflex and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including:

• Medical, dental, and vision coverage for you and your family
• Voluntary life insurance options for you, your spouse, and your children
• Other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Basic life insurance, short-term disability, and long-term disability coverage at no cost
• A generous paid time off policy to ensure you have time to relax and recharge
• A 401k plan with a company match to help you plan for your future
• Apple equipment and a media stipend for remote workspace

Why Join arenaflex?

At arenaflex, we're committed to creating a positive and supportive work environment that promotes client satisfaction and results. We're a fast-paced, Inc. 500 Company with a high-performance culture, seeking insightful forward-thinking professionals. If you're passionate about delivering exceptional customer service and support, and are looking for a challenging and rewarding career opportunity, we encourage you to apply.

How to Apply

If you're interested in joining our team as a Customer Service Representative, please submit your application through our website. We can't wait to hear from you!

Expected Salary

* Competitive salary based on experience

Location

* USA

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