Experienced Provider Customer Service Call and Chat Representative – Telecommute Opportunity in Dublin, OH

At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As a Provider Customer Service Call and Chat Representative, you will play a crucial role in supporting providers who care for our members. This position involves responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. You will be part of a full-time team working 40 hours a week, Monday through Friday, with shifts scheduled during our normal business hours of 11:35 AM to 8:05 PM EST. Given the nature of the business, there may be occasional overtime, weekend, and holiday work required, especially during peak seasons.

About arenaflex

arenaflex is a leading health care company that is committed to making a positive impact on the lives of our members and the communities we serve. We believe in the importance of providing exceptional customer service and creating a supportive environment for our employees to grow and develop their skills. As a telecommuter, you will have the flexibility to work from the comfort of your own home while still being part of a dynamic and collaborative team.

Responsibilities

As a Provider Customer Service Call and Chat Representative, your primary responsibilities will include:

• Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues.
• Serving providers in a multi-channel environment including call and concurrent chat as required.
• Quickly and appropriately triaging contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
• Seeking to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
• Researching and dissecting complex prior authorization and claim issues and taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction.
• Collaborating effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
• Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types.
• Influencing providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution.

Requirements

To be successful in this role, you will need to meet the following requirements:

• High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 1+ years of customer service experience with analyzing and solving customer's concerns.
• Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications.
• Ability to type at the speed of greater than or equal to 35 - 40+ WPM (words per minute) with an accuracy of 90%.
• Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 11:35 AM - 8:05 PM EST from Monday - Friday.

Nice-to-haves

While not required, the following experiences and skills would be beneficial in this role:

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
• Prior health care experience and knowledge of healthcare terminology.

Benefits

As a Provider Customer Service Call and Chat Representative, you will enjoy the following benefits:

• 10 weeks of paid on-the-job training.
• Flexible telecommuting options for those within a 60-mile commutable distance.
• Opportunities for career development and advancement within the organization.

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to helping our employees grow and develop their skills. As a Provider Customer Service Call and Chat Representative, you will have access to a comprehensive training program that will equip you with the knowledge and skills you need to succeed in this role. You will also have opportunities to work with experienced professionals and learn from their expertise. Additionally, you will have access to ongoing training and development opportunities that will help you advance your career within the organization.

Work Environment and Company Culture Highlights

As a telecommuter, you will have the flexibility to work from the comfort of your own home while still being part of a dynamic and collaborative team. Our company culture is built on the values of teamwork, innovation, and customer service. We believe in creating a supportive environment that encourages our employees to grow and develop their skills. Our work environment is fast-paced and dynamic, with a focus on delivering exceptional customer service and creating healthier communities.

Compensation, Perks, and Benefits

As a Provider Customer Service Call and Chat Representative, you will be compensated competitively and enjoy a range of benefits, including:

• Competitive salary and benefits package.
• Flexible telecommuting options for those within a 60-mile commutable distance.
• Opportunities for career development and advancement within the organization.
• Comprehensive training program.
• Ongoing training and development opportunities.
• Access to a dynamic and collaborative team.

Conclusion

If you are a motivated and customer-focused individual who is passionate about making a positive impact on the lives of our members and the communities we serve, we encourage you to apply for this exciting opportunity. As a Provider Customer Service Call and Chat Representative, you will have the chance to work in a dynamic and collaborative team, develop your skills and knowledge, and advance your career within the organization. Don't miss out on this opportunity to join our team and make a difference in the lives of others. Apply Now! Apply for this job