Experienced Bilingual Customer Service Representative – Health Plan Support (REMOTE)

Are you a customer service professional with a passion for delivering exceptional support to individuals in need? Do you possess strong communication skills, both written and verbal, and the ability to navigate complex healthcare-related topics? If so, we invite you to join arenaflex as a Bilingual Customer Service Representative, providing critical support to our valued customers in the health plan industry. At arenaflex, we're dedicated to revolutionizing the healthcare landscape by partnering with health plans and providers to achieve better outcomes for people with complex and costly health conditions. Our team is comprised of innovative thinkers, passionate individuals, and dedicated professionals who share a common goal: to make a meaningful impact in the lives of others. As a Bilingual Customer Service Representative, you'll play a vital role in delivering exceptional support to our customers, fostering a sense of job satisfaction through problem-solving and positive interactions. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes.

What You'll Be Doing:

* Providing exceptional support to health plan members, providers, and/or their representatives through inbound and outbound calls, emails, and chats.

• Answering and managing inquiries regarding health plan benefits and claims, eligibility, medical procedures, billing, and payments in a prompt, courteous manner.
• Conducting out-bound and/or return calls to customers as necessary, using clear language to translate healthcare-related jargon and complex processes into simple, step-by-step instructions.
• Communicating and partnering with customers tactfully and empathetically to resolve issues, using active listening skills to identify specific questions or issues and provide appropriate responses.
• Handling and processing customer complaints/grievances while applying conflict management skills to de-escalate potentially stressful situations.
• Meeting performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance.
• Adhering to all applicable department, organization, and/or regulatory policies and procedures.

What You Bring:

* Must reside in Maryland, Virginia, or Washington, DC.

• Must be Bilingual in Spanish & English (validated via bilingual assessment upon offer acceptance).
• At least 1 year call center experience is required.
• Ability to handle a heavy call volume of 50-100 calls daily.
• Demonstrated ability in using computer and Windows PC applications, including strong keyboard and navigation skills, ability to type 35 WPM, and learn new computer programs.
• Ability to work regularly scheduled shifts within hours of operation, including the training period, with flexibility to adjust daily schedule and work overtime and/or weekends as needed.
• Demonstrated ability to take an educative approach, listen skillfully, collect relevant information, determine immediate requests, and identify current and future needs of the customer.
• Ability to maintain strict confidentiality of protected health information.
• This is a work-from-home position, requiring a quiet, private workspace without noise and distractions, and reliable internet connectivity provided through a wired connection with a minimum of 100 MBPS speed.

Preferred Qualifications:

* 2+ years at a health plan, TPA, or related call center setting.

• Knowledge of managed care, Commercial, Marketplace, Medicaid, and/or Medicare programs; knowledge of medical policy benefits and exclusions is preferred.

Technical Requirements:

* High-speed internet over 10 Mbps.

• Ability to plug in directly to the home internet router.

Work Environment and Culture:

At arenaflex, we believe that people do their best work when they're supported to live their best lives. We offer a culture that values work-life balance, flexibility, and autonomy, allowing our employees to thrive in a supportive and inclusive environment. Our team is passionate about delivering exceptional support to our customers, and we're committed to making a meaningful impact in the lives of others.

Compensation and Benefits:

* Competitive salary range: $17.30-18.00/hr.

• Bonus component dependent on pre-defined performance factors.
• Comprehensive benefits package, including health insurance benefits, to qualifying employees.

How to Apply:

If you're a customer service professional with a passion for delivering exceptional support, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and contact information, and we'll reach out to you if we find the perfect fit.

Submit Your Application:

Seize this opportunity to make a significant impact. Apply now and take the first step towards a rewarding new role. Apply To This Job

About arenaflex:

arenaflex is a leading healthcare company that partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. We're committed to revolutionizing the healthcare landscape by delivering exceptional support to our customers and making a meaningful impact in the lives of others.

Life at arenaflex:

Learn more about our company culture, values, and benefits by visiting our website: [arenaflex.com](http://arenaflex.com). Apply for this job