Experienced Full Stack Customer Service Representative – Non-Clinical Support (Days) Indianapolis, IN
At arenaflex, we are committed to delivering exceptional customer experiences that exceed our members' expectations. As a key member of our team, you will play a vital role in providing top-notch support to our members and providers, ensuring seamless interactions and resolving complex issues with ease. If you are a motivated and empathetic individual with a passion for delivering outstanding customer service, we encourage you to apply for this exciting opportunity.
Job Summary:
As a Non-Clinical Customer Service Representative, you will be responsible for handling daily member telephone calls, providing education, problem-solving, and creating linkages to the Medical Management Department for authorization of services. You will also assist providers with eligibility, benefit, and resolution of claims issues. This is a remote work-from-home position with onsite/virtual training, offering a flexible and dynamic work environment.
Key Responsibilities:
* Meet the Department standard of calls answered, and call documentation entered
- Assist Members and Providers with questions and concerns, including:
+ Finding Provider(s)/Services for members + Arranging Transportation for members + Answering billing/claims status questions; resolving claim issues for members + Assisting with pharmacy issues + Helping Members access community support services + Verifying member eligibility + Quoting benefits + Assisting with Referrals + Assisting with member health assessments + Assisting members with closing gaps in care
- Provide ongoing member education
- Responsible for all benefits information given to Members and Providers
- Participate in Departmental Projects, as appropriate
- Coordinate quality improvement initiatives with Medical Management, Provider Relations, and Quality Depts., i.e., Preventative Health Screenings
- Perform other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole
Requirements:
* 1 year of experience in a call center environment
- High School Diploma (proof not required)
- Spanish speaking required (please note in your profile)
- Bilingual applicants preferred (eligible for pay rate increase)
- Must reside in Indiana
- 52% markup need; contractors must make a facility-mandated $18.00 per hour
Preferred Qualifications:
* 1+ year of experience in a customer service role
- Bilingual (Spanish and English)
- Experience working in a healthcare or insurance environment
What We Offer:
* Competitive hourly rate
- Flexible remote work-from-home environment
- Ongoing training and development opportunities
- Collaborative and dynamic work environment
- Opportunities for career growth and advancement
- Comprehensive benefits package (including medical, dental, and vision insurance)
- Paid time off and holidays
- Access to exclusive employee discounts and perks
Work Environment and Company Culture:
At arenaflex, we value diversity, equity, and inclusion. We strive to create a workplace culture that is inclusive, respectful, and supportive of all employees. Our team is passionate about delivering exceptional customer experiences and making a positive impact on our members' lives. If you share our values and are committed to excellence, we encourage you to join our team.
How to Apply:
If you are a motivated and customer-focused individual with a passion for delivering outstanding service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online portal. We look forward to reviewing your application and discussing this opportunity further. Apply Now! Apply for this job