Experienced Customer Care Associate I - Remote Support Specialist – Healthcare Industry

Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Do you thrive in a fast-paced, dynamic environment where no two days are the same? If so, we invite you to join arenaflex, a leading healthcare company dedicated to helping people get the medicine they need to feel better and live well. As an Experienced Customer Care Associate I - Remote Support Specialist, you will be the front-line service representative for arenaflex, providing assistance to members and providers regarding programs, policies, and procedures. You will be responsible for answering incoming calls, resolving customer administrative concerns, and providing outstanding service to internal and external customers. If you are a customer service professional with a passion for delivering exceptional service, we encourage you to apply to this exciting opportunity.

About arenaflex

arenaflex is a leading healthcare company that helps people get the medicine they need to feel better and live well. We are committed to delivering exceptional customer service and making a positive impact on people's lives. Our team is passionate about what we do, and we are dedicated to creating a work environment that is collaborative, inclusive, and rewarding.

Job Highlights

*

Position:

Experienced Customer Care Associate I - Remote Support Specialist

Company:

arenaflex

Compensation:

Competitive salary

Start Date:

Immediate openings available

Location:

Remote

Responsibilities

As an Experienced Customer Care Associate I - Remote Support Specialist, you will be responsible for:

• Actively listening and probing callers in a professionally and timely manner to determine the purpose of the calls
• Researching and articulately communicating information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality
• Resolving customer administrative concerns as the first line of contact, including claim resolutions and other expressions of dissatisfaction
• Assisting efforts to continuously improve by identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies
• Assisting in the mentoring and training of new staff
• Assuming full responsibility for self-development and career progression, proactively seeking and participating in ongoing training sessions (formal and informal)
• Comprehensively assembling and entering patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs
• Demonstrating flexibility in areas such as job duties and schedule to aid in better serving members and helping arenaflex achieve its business and operational goals
• Educating providers on how to submit claims and when/where to submit a treatment plan
• Identifying and responding to Crisis calls and continuing assistance with the Clinician until the call has been resolved
• Informing providers and members on arenaflex's appeal process
• Leading or participating in activities as requested that help improve Care Center performance, excellence, and culture
• Linking or making routine referrals and triage decisions not requiring clinical judgment
• Performing necessary follow-up tasks to ensure member or provider needs are completely met
• Providing information regarding arenaflex's in-network and out-of-network reimbursement rates and states multiple networks to providers
• Referring callers requesting provider information to Provider Services regarding arenaflex's professional provider selection criteria and application process
• Referring patients/EAP clients to the arenaflex's Care Management team for a provider, EAP affiliate, or Facility
• Responsible for updating self on ever-changing information to ensure accuracy when dealing with members and providers
• Supporting team members and participating in team activities to help build a high-performance team
• Thoroughly documenting customers' comments/information and forwarding required information to the appropriate staff

Requirements

* Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment

• Responsible for meeting call handling requirements and daily telephone standards as set forth by management
• Must agree to observing service for the purpose of training and quality control
• Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills
• Must be able to maneuver through various computer platforms while verifying information on all calls
• Must be able to talk and type simultaneously

Preferred Qualifications

* Customer service work experience

• Education: GED, High School Education, Associates, or Bachelors
• Certifications: Certifications are not required but are preferred

Compensation and Benefits

arenaflex offers a competitive salary range of $16.00 - $21.26 based on experience and skills. Pay range may vary by 8% depending on applicant location. arenaflex also offers a comprehensive benefits package, including:

• Health, dental, and vision insurance
• 401(k) plan with company match
• Paid time off and holidays
• Professional development opportunities
• Flexible work arrangements

Work Environment and Culture

arenaflex is a fast-paced and dynamic work environment that is ideal for proactively addressing the constant changes in today's healthcare industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

How to Apply

If you are a customer service professional with a passion for delivering exceptional service, we encourage you to apply to this exciting opportunity. Please submit your application through our website, and we will review your qualifications and experience. We look forward to hearing from you!

Equal Opportunity Employer

arenaflex is an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. We welcome people of different backgrounds, experiences, abilities, and perspectives, including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. arenaflex is a Tobacco-Free Workplace employer. Apply for this job