Experienced Customer Service Representative - Remote Opportunity at arenaflex

Join arenaflex, a leading healthcare utilization and care management company, in revolutionizing the industry with innovative approaches and evidence-based solutions. At arenaflex, we are committed to delivering exceptional customer service and creating a positive experience for our clients, providers, and patients. As a Customer Service Representative, you will play a vital role in our Clinical Review Department, providing administrative intake and scripted clinical intake of calls for clinical review, while ensuring the highest level of confidentiality and quality documentation standards.

About arenaflex

arenaflex is a pioneer in the field of healthcare utilization and care management, actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment. With a strong IT capability in specialty benefits management, arenaflex provides evidence-based solutions and second opinions to staff, empowering them to move healthcare forward.

Our Mission

Our mission is to create a career path filled with success and personal growth for talented and innovative individuals who share our passion for making a difference in the healthcare industry. We strive to build a diverse and inclusive team that is comprised of healthcare professionals who are dedicated to delivering exceptional customer service and quality care.

Job Description

As a Customer Service Representative at arenaflex, you will be responsible for:

• Conducting administrative intake and scripted clinical intake of calls for clinical review
• Providing quality customer service through interaction with providers, administrative staff, and others
• Building and maintaining customer satisfaction with products and services; providing excellent service to internal and external customers
• Collecting and entering confidential information, ensuring the highest level of confidentiality in all areas
• Maintaining high-quality documentation standards when collecting and performing data entry functions
• Providing ongoing telephonic support to providers and office staff related to arenaflex's Clinical Review process
• Providing administrative support to the Clinical Review Department if needed
• Participating and understanding the scope of responsibility pertaining to ongoing Quality Initiative Projects
• Maintaining acceptable levels of performance for all Key Performance Indicators, such as Average Talk Time (ATT), Quality, and adherence to schedule
• Participating in the arenaflex Quality Management Program as required
• Adhering to all HIPAA, state, and federal regulations pertaining to the clinical programs
• Adhering to both URAC & NCQA standards in keeping with arenaflex's compliance initiatives
• Carrying out other projects and responsibilities as assigned

Qualifications

To be successful in this role, you will need:

• High School Diploma/GED, required
• 1 year of customer service experience, required
• Ability to hard line internet into computer equipment provided, required
• Internet upload speed of 5 mbps and download of 25 mbps, required (verified at onboarding)
• HIPAA compliant room, required (verified at onboarding)
• Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.), preferable
• Ability to read clinical terminology with high levels of proficiency
• Ability to work efficiently in a fast-paced, high call volume, performance-driven Contact Center
• MS Outlook and Windows proficiency
• Ability to work on dual monitors and navigate multiple software applications simultaneously
• Strong time management skills
• Ability to adhere to strict schedule with ability to adapt to schedule changes
• Highly skilled at delivering client and customer satisfaction
• Must possess strong verbal and written communication skills

What We Offer

As a valued member of our team, you will enjoy:

• Competitive compensation and benefits package
• Opportunities for career growth and professional development
• Collaborative and dynamic work environment
• Recognition and rewards for outstanding performance
• Comprehensive training and onboarding program
• Flexible work arrangements, including remote work options
• Access to cutting-edge technology and tools
• Opportunities to work with a diverse and talented team of healthcare professionals

How to Apply

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service and making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to our online portal.

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all individuals, regardless of their background, culture, or identity.

Contact Us

If you have any questions or would like to learn more about this opportunity, please do not hesitate to contact us. We look forward to hearing from you! Apply Now! For more job opportunities at arenaflex, please visit our website. Apply for this job