Experienced Customer Service Representative – Remote Opportunity with arenaflex

Join arenaflex, a rapidly growing national quality improvement and care management organization, as we strive to ensure that over 20 million people receive the right care, at the right time, in the right setting. At arenaflex, we are passionate about improving lives through healthcare quality and clinical expertise. Our mission-driven approach has earned us a reputation as a trusted partner in the healthcare industry. We are now seeking an experienced Customer Service Representative to join our team and help us achieve our mission.

About arenaflex

arenaflex is a national quality improvement and care management organization that works tirelessly to ensure that individuals receive the right care, at the right time, in the right setting. With a strong commitment to people-focused and mission-driven values, we strive to make a real difference in the lives of individuals across the country. Our team is dedicated to providing exceptional customer service and support to our clients, and we are looking for a talented individual to join our team.

Perks of this Role

* Fully remote position: Work from the comfort of your own home, with rotational shifts available for EST, CT, or PST.

• Full benefits: Enjoy comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
• Paid time off: Take time to relax and recharge with our generous paid time off policy.
• 401k with match: Grow your retirement savings with our 401k plan, featuring a vesting period of zero.
• Career growth opportunities: Join a rapidly growing organization with a strong commitment to employee development and advancement.
• Meaningful work: Make a real difference in the lives of individuals across the country, while doing work that you can feel good about every day.

Responsibilities

As a Customer Service Representative at arenaflex, you will be responsible for providing exceptional customer service support to our clients, including:

• Typing/merging, proofing, printing, and mailing correspondence: Ensure that all correspondence is accurate, complete, and timely.
• Communicating verbally and in writing with external customers: Provide clear and concise information to external customers, while also gathering and processing information as needed.
• Fostering effective working relationships: Build and maintain strong relationships with internal and external customers, while also identifying areas for potential improvement.
• Assisting with and participating in Review Team: Collaborate with the Review Team to identify areas for potential improvement, while also providing input and feedback on process improvements.
• Answering the Beneficiary Helpline: Utilize the hunt group and available light functions to answer calls and provide assistance to beneficiaries.
• Determining how to best assist callers: Use your knowledge of arenaflex services and external agencies to determine the best course of action for each caller.
• Entering referrals into the CMS system: Accurately and efficiently enter referrals into the CMS system, while also ensuring that all necessary information is included.
• Providing intake for all appeals: Gather and process information for all appeals, while also ensuring that all necessary documentation is complete and accurate.
• Proficient in customer service guidelines and standards: Stay up-to-date on customer service guidelines and standards, while also using this knowledge to provide exceptional service to our clients.
• Utilizing internal quality control tools: Use internal quality control tools to assess your own work and team processes, while also identifying areas for improvement.

Qualifications

To be successful in this role, you will need:

• High school diploma or equivalent: A high school diploma or equivalent is required, with post-high school business courses a plus.
• Medical terminology desired: While not required, medical terminology is a desirable skill for this role.
• Excellent verbal communication skills: You must be able to communicate clearly and effectively with external customers, while also being courteous and patient.
• Good grammar, punctuation, spelling, hyphenation, and written communications skills: You must be able to write clearly and accurately, while also being mindful of grammar, punctuation, and spelling.
• Customer-focused, results-oriented, and capable of building and maintaining relationships: You must be able to build and maintain strong relationships with internal and external customers, while also being results-oriented and customer-focused.
• General knowledge of a PC-based computer system: You should have a general knowledge of PC-based computer systems, with the ability to learn additional software packages as needed.
• Ability to multi-task and prioritize assignments: You must be able to multi-task and prioritize assignments, while also being able to work independently.
• Two to three years clerical experience: You should have two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities.
• Prior work in a healthcare setting or medical terminology recommended: While not required, prior work in a healthcare setting or medical terminology is a plus.

Experience

While not required, prior experience in a healthcare setting or with medical terminology is a plus. You should also have a strong background in customer service, with the ability to build and maintain strong relationships with internal and external customers.

Mental and Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job.

• Regularly required to sit for prolonged periods of time: You will be required to sit for prolonged periods of time, with occasional standing and walking.
• Occasionally lift and/or move objects weighing up to 10 pounds: You may be required to lift and/or move objects weighing up to 10 pounds, with occasional travel within the state.
• Interact extensively with internal and external customers: You will be required to interact extensively with internal and external customers, while also being able to work independently.

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Apply Now

If you are a motivated and customer-focused individual with a passion for improving lives through healthcare quality and clinical expertise, we encourage you to apply for this exciting opportunity. Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team. Apply To This Job Apply for this job