Experienced Health Customer Service Representative – Dynamic Team Member Wanted at arenaflex

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? Look no further! arenaflex is seeking a highly motivated and customer-focused Health Customer Service Representative to join our team. As a Health Customer Service Representative at arenaflex, you will be the face of our company, providing top-notch support to our clients and their plan participants. You will be responsible for answering telephone inquiries, resolving claims issues, and providing clear and accurate responses to requests for information. If you have a passion for helping others and are eager to learn and grow with a growing company, we want to hear from you!

About arenaflex

arenaflex is a growing company with hometown values that is dedicated to providing exceptional customer service and innovative solutions to our clients. We pride ourselves on our positive, team-oriented environment and opportunities for advancement. Our company culture is built on a foundation of respect, empathy, and open communication, and we are committed to making a difference in the lives of our clients and their plan participants.

Position Responsibilities

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

• Answering telephone inquiries from plan participants, client contacts, and providers regarding self-funded and partially self-funded group health benefits and/or the fully insured product
• Providing clear and accurate responses to requests for information
• Documenting all calls into Chronolog (by typing in highlights of the conversation) for future referral
• Returning messages left in designated voice mailboxes
• Reading and interpreting plan documents for numerous clients, reviewing new documents and amendments as added
• Meeting personally with clients as necessary to assist with questions pertaining to their health benefit plan
• Assisting team members as requested
• Logging faxed claims (type information faxes received in Chronolog)
• Returning misdirected claims to appropriate provider as received
• Assisting members with website
• Meeting or exceeding company standards for production and quality
• Contributing to the daily workflow with regular and punctual attendance
• Assisting with claim information research and identification
• Assisting with provider record maintenance as assigned
• Indexing claim and correspondence batches as assigned
• Performing assigned duties for specific client groups as needed
• Assisting with employee training and cross-training as needed
• Researching and writing up refunds as assigned
• Performing related or other assigned duties as required or directed

Essential Job Functions

* Answering telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries

• Providing clear and accurate responses to requests for information
• Documenting all calls into Chronolog (by typing in highlights of the conversation) for future referral
• Returning messages left in designated voice mailboxes
• Reading and interpreting plan documents for numerous clients, reviewing new documents and amendments as added
• Meeting personally with clients as necessary to assist with questions pertaining to their health benefit plan
• Assisting team members as requested
• Logging faxed claims (type information faxes received in Chronolog)
• Returning misdirected claims to appropriate provider as received
• Assisting members with website
• Meeting or exceeding company standards for production and quality
• Contributing to the daily workflow with regular and punctual attendance
• Assisting with claim information research and identification
• Assisting with provider record maintenance as assigned
• Indexing claim and correspondence batches as assigned
• Performing assigned duties for specific client groups as needed
• Assisting with employee training and cross-training as needed
• Researching and writing up refunds as assigned

Quality Assurance Measurements

* Meet or exceed company standards for production and quality and assurance audit

Non-Essential Job Functions

* Performing related or other assigned duties as required or directed

Supervision Exercised

None.

Physical Working Conditions

Physical requirements are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Sitting 90%
• Reaching Some
• Standing 5%
• Manual Dexterity High
• Walking 5%
• Telephone Yes
• Kneeling Some
• Computer Screen High (visual acuity corrected to 20/30)
• Bending Some
• Lifting up to 30 pounds
• Typing 95%

Job Specifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Minimum Education: High school graduation or GED required. College degree and/or training in medical terminology preferred.
• Certification(s) Required: Upon hire, complete the ICSA customer service certification provided through the company.
• Minimum Experience: Basic computer and customer service experience required.
• Other Qualifications:

+ Excellent oral and written communication skills required. + PC skills, including Windows, Word and Adobe Acrobat. Must be able to adapt to software changes as they occur. + Typing ability of 45 wpm net. + Knowledge of medical terminology and basic health insurance concepts. + Excellent listening skills. + Basic mathematical skills. + High level of interpersonal skills to work effectively with others. + Ability to organize and recall large amounts of detailed information. + Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents and regulations. + Ability to project a professional image and positive attitude in any work environment. + Ability to comply with privacy and confidentiality standards. + Ability to be flexible, work under pressure and meet deadlines. + Ability to analyze and solve problems with professionalism and patience. + Ability to operate typical office equipment. + Working knowledge of general office procedures.

Work Environment and Company Culture

arenaflex is committed to providing a positive, team-oriented environment where our employees can grow and thrive. We offer a dynamic and supportive work environment, with opportunities for advancement and professional development. Our company culture is built on a foundation of respect, empathy, and open communication, and we are committed to making a difference in the lives of our clients and their plan participants.

Career Growth Opportunities and Learning Benefits

arenaflex is committed to the growth and development of our employees. We offer a range of training and development opportunities, including:

• On-the-job training and mentorship
• Professional development programs and workshops
• Opportunities for advancement and career growth
• Access to industry-leading technology and tools
• A supportive and collaborative work environment

Compensation, Perks, and Benefits

arenaflex offers a comprehensive benefits package, including:

• Competitive salary and bonus structure
• Comprehensive health insurance package
• 401(k) retirement plan with company match
• Paid time off and holidays
• Flexible work arrangements and telecommuting options
• Access to industry-leading technology and tools
• A supportive and collaborative work environment

How to Apply

If you are a motivated and customer-focused individual who is passionate about delivering exceptional customer service, we want to hear from you! Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Apply for this job