Experienced Medical Customer Service Representative – Patient Engagement and Claims Support

At arenaflex, we are dedicated to delivering exceptional patient care and support through our comprehensive medical services. As a Medical Customer Service Representative, you will play a vital role in ensuring that our patients receive timely and accurate information about their benefits, claims, and eligibility. If you are a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity to join our team in Rockville, MD.

About arenaflex

arenaflex is a leading provider of innovative medical solutions, committed to improving the lives of our patients and clients. Our team of dedicated professionals is passionate about delivering exceptional service, and we are seeking like-minded individuals to join our ranks. With a strong focus on patient engagement and support, we strive to create a positive and inclusive work environment that fosters growth, learning, and collaboration.

Job Summary

We are seeking an experienced Medical Customer Service Representative to join our team in Rockville, MD. As a key member of our customer service team, you will be responsible for providing exceptional support to patients and clients, responding to inquiries, and resolving claims and eligibility issues. If you have a strong background in healthcare, excellent communication skills, and a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity.

Responsibilities

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

• Obtaining and maintaining a working knowledge of basic plan provisions, multiple benefit schedules, eligibility systems, claim systems, and other relevant medical systems
• Responding promptly and accurately to phone calls, emails, walk-in participants, and written correspondence by answering questions and explaining claim payments and denials
• Quoting self-payment amounts, verifying eligibility and benefits, researching eligibility or claim issues, and updating eligibility with outside vendors
• Documenting all patient interactions in the patient account system
• Performing various clerical duties, including entering enrollment forms, processing working spouse forms, special fund claims, and disability claims
• Handling messages from the after-hours mailbox and following up with patients as needed

Qualifications

To be successful in this role, you will need:

• A minimum of 1 year of experience in a healthcare call center setting
• The ability to pass a typing test at 40 WPM
• Knowledge of medical terminology and claims processes is a plus
• Strong communication and interpersonal skills
• Proficiency with computer systems and medical software

Essential Skills and Competencies

To excel in this role, you will need to possess:

• Excellent communication and interpersonal skills, with the ability to effectively interact with patients, clients, and colleagues
• Strong problem-solving and analytical skills, with the ability to research and resolve complex claims and eligibility issues
• Proficiency with computer systems and medical software, including electronic health records and claims processing systems
• Ability to work in a fast-paced environment, with multiple priorities and deadlines
• Strong attention to detail, with the ability to accurately document patient interactions and maintain accurate records

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to supporting the growth and development of our employees. As a Medical Customer Service Representative, you will have access to:

• Ongoing training and development opportunities, including training on new medical systems and claims processing procedures
• Mentorship and coaching from experienced colleagues and supervisors
• Opportunities for advancement and career growth within the company
• A comprehensive benefits package, including medical, dental, vision, life insurance, short-term disability, and additional voluntary benefits

Work Environment and Company Culture

arenaflex is a dynamic and inclusive work environment, committed to fostering a positive and supportive culture. As a Medical Customer Service Representative, you will be part of a team of dedicated professionals who are passionate about delivering exceptional patient care and support. Our office is located in Rockville, MD, and we offer a hybrid work arrangement, with 2 days remote and 3 days onsite.

Compensation and Benefits

We offer a competitive compensation package, including:

• $22.00 to $24.00 per hour
• Comprehensive benefits package, including medical, dental, vision, life insurance, short-term disability, and additional voluntary benefits
• Paid leave, including Paid Sick Leave and Holiday pay
• 401K plan and commuter benefits

Equal Opportunity Employer

arenaflex is an equal opportunity employer, committed to diversity and inclusion. We welcome applications from qualified candidates of all backgrounds, and we are committed to creating a workplace that is free from discrimination and harassment.

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity to join our team at arenaflex. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! Apply for this job