Experienced Customer Service Representative I - Remote

Join arenaflex, a leading healthcare services company, as a Customer Service Representative I in a remote setting. As a key member of our team, you will play a vital role in delivering exceptional customer experiences to our clients and patients. If you're passionate about providing top-notch service, have a strong sense of responsibility, and are eager to grow your career in the healthcare industry, we encourage you to apply.

About arenaflex

arenaflex is a dynamic and innovative healthcare services company that brings 30 years of expertise to clients across the United States. Our mission is to help healthcare organizations strengthen their financial and clinical performance, serve their communities, and succeed in the business of healthcare. We're committed to providing our clients with the resources and incentives they need to redefine healthcare services and improve quality, cost, and access to care.

Job Summary

As a Customer Service Representative I, you will be responsible for answering incoming calls from providers, health plans, and members regarding eligibility, benefits, claims, coverage, and authorization of services. You will also problem-solve and explain programs and procedures to callers, as well as answer and address claim payment questions with providers. This is a remote position, and you will be working from the comfort of your own home.

Essential Duties and Responsibilities

* Answer incoming phone calls via ACD phone system

• Retrieve Voice Mails
• Provide eligibility, benefits, claim, and referral status depending on the queue on which you serve
• Assist in resolving issues for providers as they relate to claims, authorization, and eligibility inquiries
• Utilize knowledge of CPT, ICD-10, HCPCS codes, HCFA1500, and UB04 billing forms to resolve customer inquiries
• Maintain accurate and up-to-date records of customer interactions
• Collaborate with internal teams to resolve complex customer issues
• Meet or exceed performance metrics and quality standards

Knowledge, Skills, Abilities

* Strong sense of responsibility for providing a great customer experience

• Detail-oriented and highly organized
• Excellent verbal and written communication skills
• Excellent organization skills with the ability to handle multiple tasks and prioritize work
• Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500, and UB04 billing forms
• Ability to work in a fast-paced environment and adapt to changing priorities
• Strong problem-solving and critical thinking skills
• Ability to maintain confidentiality and handle sensitive customer information

Education / Experience

* 1-3 years of customer service experience in a call center and/or healthcare environment preferred

• High school degree or equivalent required; bachelor's degree preferred
• Experience with healthcare billing and coding systems a plus

Physical Demands

* Must be able to work in a sitting position, use a computer, and answer a telephone

• Must be able to lift up to 25 pounds occasionally

Work Environment

* Remote work environment with access to a dedicated workspace and reliable internet connection

• Must be able to work independently with minimal supervision
• Must be able to maintain a high level of productivity and focus in a home-based setting

Career Growth Opportunities and Learning Benefits

* arenaflex offers a comprehensive training program to help you develop your skills and knowledge in customer service and healthcare

• Opportunities for career advancement and professional growth within the company
• Access to ongoing training and development opportunities to enhance your skills and stay up-to-date with industry trends
• Collaborative and supportive team environment with opportunities for mentorship and feedback

Compensation, Perks, and Benefits

* Competitive hourly rate: $14.50 - $21.80 per hour, depending on location, qualifications, and experience

• Position may be eligible for a signing bonus for qualified new hires, subject to employment status
• Conifer observed holidays receive time and a half
• Comprehensive benefits package, including:

+ Medical, dental, vision, disability, and life insurance + Paid time off (vacation & sick leave) - minimum of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked + 401(k) with up to 6% employer match + 10 paid holidays per year + Health savings accounts, healthcare & dependent flexible spending accounts + Employee Assistance program, Employee discount program + Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance + For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act

How to Apply

If you're a motivated and customer-focused individual looking to join a dynamic and innovative healthcare services company, we encourage you to apply for this exciting opportunity. 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