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Experienced Customer Service Representative – Healthcare Claims and Benefits Support

Remote Full-time Live

Join arenaflex, a leading provider of innovative solutions for federal government agencies, payers, and providers, as we continue to revolutionize the healthcare administrative landscape. Are you a highly motivated and customer-focused individual with a passion for delivering exceptional service? Do you thrive in a fast-paced environment where no two days are the same? If so, we invite you to join our team as an Experienced Customer Service Representative, where you will play a vital role in supporting healthcare providers, veterans, and beneficiaries with their claims and benefits.

About You

We're looking for someone who is not only enthusiastic about providing first call resolution and caller satisfaction but also possesses a unique blend of skills, experience, and personal qualities. As a Customer Service Representative at arenaflex, you will be responsible for answering incoming correspondence from healthcare providers, veterans, or veteran representatives to gather required information from the caller and client systems to make determinations.

Key Responsibilities

* Conduct every transaction with a customer-focused, courteous approach that ensures first call resolution and achieves quality scores while maintaining production standards.

  • Research and evaluate medical claims and benefits for proper adjudication.
  • Utilize client systems, soft phone systems, and customer relationship management software to manage multiple projects and provide exceptional service.
  • Document call activity and make requests for corrective action into VA systems.
  • Maintain a working knowledge of applicable VA regulations as they relate to 72-hour notification requirements.
  • Act as an effective team member, collaborating with colleagues to achieve shared goals and objectives.
  • Perform other duties as assigned, including maintaining access to all client systems and staying up-to-date on industry developments.

Essential Qualifications

* High School Diploma or GED required.

  • 1-2 years' experience in customer service, preferably in a healthcare or claims-related environment.
  • General office skills and knowledge of standard office equipment.
  • Working knowledge of software such as Excel and Word.
  • Data entry and 10-key experience necessary.
  • Excellent verbal and written communication skills.
  • Personal traits of high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty, and integrity.

Preferred Qualifications

* Experience working with client systems, soft phone systems, and customer relationship management software.

  • Knowledge of VA regulations and procedures.
  • Certification in customer service or a related field.
  • Bilingual or multilingual skills.

Skills and Competencies

* Strong problem-solving and analytical skills.

  • Ability to work in a fast-paced environment with multiple priorities.
  • Excellent communication and interpersonal skills.
  • Ability to maintain confidentiality and handle sensitive information.
  • Strong attention to detail and organizational skills.
  • Ability to work independently and as part of a team.

Career Growth Opportunities and Learning Benefits

At arenaflex, we believe in fully developing each of our associates. We offer a performance-driven atmosphere with competitive pay, world-class training and development classes, resources, and events, an award-winning culture where everyone thrives, and so much more. Our comprehensive benefits package includes:

  • Health Insurance for Our Associates
  • Fully Paid Life Insurance
  • Fully Paid Short- & Long-Term Disability
  • Paid Vacation
  • Paid Sick Leave
  • Paid Holidays
  • Professional Development and Tuition Assistance Program
  • 401(k) Program with Employer Match
  • Referral Bonuses
  • Hybrid & Remote Opportunities

Work Environment and Company Culture

As a Customer Service Representative at arenaflex, you will work in a dynamic and supportive environment where your contributions are valued and recognized. Our company culture is built on the principles of Passion, Courage, Integrity, and Respect, and we strive to create a workplace where everyone feels empowered to grow and succeed.

Compensation and Perks

We offer a competitive hourly rate of $21.77 per hour, with opportunities for advancement and professional growth. Our comprehensive benefits package includes health insurance, paid time off, and a 401(k) program with employer match.

How to Apply

If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. We look forward to hearing from you!

Equal Employment Opportunity

arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment where everyone feels valued and empowered to succeed.

U.S. Citizenship and Work Requirements

U.S. Citizenship is required for all positions, and work on all positions must be completed in the Continental United States, Alaska, or Hawaii. Apply for this job

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