Experienced Medicare Outreach Customer Service Representative – Remote Opportunity at arenaflex

At arenaflex, we're committed to delivering exceptional healthcare services to our members, and we're seeking a highly motivated and customer-focused individual to join our team as a Medicare Outreach Customer Service Representative. As a key member of our organization, you will play a vital role in promoting healthy lifestyles, educating members about our products and programs, and fostering strong relationships with our members, providers, and community partners.

About arenaflex

arenaflex is a leading healthcare organization dedicated to improving the lives of our members and the communities we serve. Our mission is to provide high-quality, patient-centered care that is accessible, affordable, and compassionate. We're proud of our culture of high performance, which is built on a foundation of teamwork, innovation, and a commitment to excellence.

About arenaflex Health Plan

arenaflex Health Plan is our Michigan-based health plan, dedicated to meeting the healthcare needs of our Michigan members. We offer a range of products and programs designed to promote healthy lifestyles, prevent disease, and improve health outcomes. Our team of healthcare professionals is passionate about delivering exceptional care and service to our members, and we're committed to making a positive impact in the communities we serve.

About arenaflex Health Plan and MDwise, Inc.

arenaflex Health Plan and MDwise, Inc. are subsidiaries of arenaflex Integrated HMO Group (MIG), a division of arenaflex Health Care Corporation. We value the talents and abilities of all our employees and strive to foster an open, cooperative, and dynamic environment in which employees and the health plans can thrive.

Job Summary

As a Medicare Outreach Customer Service Representative, you will be responsible for delivering, strategizing, and improving quality with a focus on primary care. You will educate and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan. You will establish and maintain relationships for the promotion of healthy lifestyles among membership, track and trend HEDIS or Medicare Stars rates, and foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned.

Key Responsibilities

* Deliver, strategize, and improve quality with a focus on primary care

• Educate and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan
• Establish and maintain relationships for the promotion of healthy lifestyles among membership
• Track and trend HEDIS or Medicare Stars rates
• Foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned
• Provide exceptional customer service to members and providers
• Collaborate with internal teams to achieve business objectives
• Stay up-to-date on industry trends and best practices

Essential Qualifications

* High School Diploma or equivalent educational certification

• Two (2) years' experience in a customer service-related position
• Strong communication and interpersonal skills
• Ability to work in a fast-paced environment and prioritize multiple tasks
• Proficiency in Microsoft Office and other software applications
• Strong analytical and problem-solving skills

Preferred Qualifications

* Associate Degree in healthcare administration, communication, marketing, or related field

• One year experience in a community-focused outreach position
• NCQA experience specific to HEDIS measurement
• In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.

Skills and Competencies

* Strong customer service skills

• Excellent communication and interpersonal skills
• Ability to work in a fast-paced environment and prioritize multiple tasks
• Strong analytical and problem-solving skills
• Proficiency in Microsoft Office and other software applications
• Ability to work independently and as part of a team
• Strong attention to detail and organizational skills

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a range of training and development opportunities, including:

• On-the-job training and mentorship
• Professional development programs and workshops
• Leadership development opportunities
• Continuing education and certification programs

Work Environment and Company Culture

arenaflex is a dynamic and supportive work environment that values diversity, equity, and inclusion. We're committed to creating a workplace culture that is inclusive, respectful, and empowering. Our team is passionate about delivering exceptional care and service to our members, and we're committed to making a positive impact in the communities we serve.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation and benefits package, including:

• Competitive salary and bonus structure
• Comprehensive health insurance and wellness programs
• Retirement savings plan and matching contributions
• Paid time off and holidays
• Professional development opportunities and continuing education programs

How to Apply

If you're a motivated and customer-focused individual who is passionate about delivering exceptional care and service to our members, we encourage you to apply for this exciting opportunity. Please submit 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 and welcomes applications from diverse candidates. We're committed to creating a workplace culture that is inclusive, respectful, and empowering. Apply for this job