Experienced Provider Customer Service Call and Chat Representative – Telecommute Opportunity at arenaflex

At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As a leading health insurance company, we strive to provide exceptional service to our providers, who care for our members. We are seeking an experienced Provider Customer Service Call and Chat Representative to join our team in Dublin, OH. This role 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. As a telecommuter, 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.

About arenaflex

arenaflex is a dynamic and innovative company that is committed to simplifying the health care experience. We believe that everyone deserves access to quality health care, and we are dedicated to making that a reality. Our team of passionate and dedicated professionals is working tirelessly to create healthier communities and improve the lives of our members. As a Provider Customer Service Call and Chat Representative, you will play a crucial role in supporting our providers and helping them navigate the complex health care system.

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 at arenaflex, 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

Work Environment and Company Culture

As a telecommuter, you will be working from the comfort of your own home, with the flexibility to create your own schedule and work environment. arenaflex is committed to creating a supportive and inclusive work environment, where our employees feel valued and empowered to succeed. Our company culture is built on the principles of teamwork, innovation, and customer-centricity, and we are passionate about making a positive impact on the health care system.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including a salary, benefits, and perks. As a Provider Customer Service Call and Chat Representative, you will be eligible for a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) retirement plan. You will also have access to a range of perks, including flexible telecommuting options, paid time off, and opportunities for career development and advancement.

Career Growth Opportunities and Learning Benefits

arenaflex is committed to helping our employees grow and develop their careers. As a Provider Customer Service Call and Chat Representative, you will have access to a range of learning and development opportunities, including training programs, mentorship, and coaching. We also offer opportunities for career advancement, including promotions and new roles within the organization.

Conclusion

If you are a motivated and customer-focused individual who is passionate about making a positive impact on the health care system, we encourage you to apply for this exciting opportunity. As a Provider Customer Service Call and Chat Representative at arenaflex, you will have the chance to work in a dynamic and innovative company, where you will be valued and empowered to succeed. Don't miss out on this opportunity to join our team and make a difference in the lives of our members.

How to Apply

To apply for this exciting opportunity, please visit our website at [insert link]. We look forward to hearing from you and learning more about your qualifications and experience. Apply for this job