Experienced Customer Service Representative - Remote Work Opportunity with arenaflex
Job Title: Experienced Customer Service Representative - Remote Work Opportunity with arenaflex
Job Description:
About arenaflex
At arenaflex, we pride ourselves on being a leading provider of innovative solutions and exceptional customer experiences. Our commitment to excellence has earned us a reputation as a trusted partner in the industry, and we're now seeking talented individuals to join our team as Customer Service Representatives. If you're passionate about delivering outstanding customer service and working in a dynamic, remote environment, we encourage you to apply for this exciting opportunity.About the Role
As a Customer Service Representative at arenaflex, you will be the primary point of contact for our customers, providing exceptional support and resolving inquiries in a timely and professional manner. Your day-to-day responsibilities will include:- Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments)
- Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information
- Thoroughly and completely documenting all customer interactions
- Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations
- Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist
- Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role
- Responding to customer inquiries in a courteous and professional manner
- Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions
- Responding to and resolving internal and external complex customer inquiries
- Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken
- Taking ownership of the resolution and setting expectation for follow up
- Ensuring resubmissions, stop payments, and voids are appropriately handled
- Meeting or exceeding individual, department, and client specific goals
- Understanding and adhering to all client administrative and contractual policies and procedures
- Suggesting ways to improve the service delivery processes contributing to the success of the organization
- Other duties as assigned
Requirements
To be successful in this role, you will need to possess the following qualifications and skills:- High School Diploma or Equivalent
- 2 years experience in a high volume customer service environment
- Experience in healthcare or related industry experience preferred
- Ability to multi-task using multiple applications simultaneously
- Ability to set-up computer equipment and troubleshoot issues with minimal assistance
- Professional verbal and written communication skills
- Ability to operate a computer and knowledge of Microsoft Office applications
- Strong organizational skills and attention to detail
- Ability to work independently and with a team
- Ability to learn quickly and adapt to a fast pace production environment
- Cooperative, professional and effective interaction skills
- Critical thinking and problem solving skills
- Ability to tolerate repetitive work without compromising accuracy and service levels
- Attend additional training as requested/deemed necessary
Preferred Qualifications
While not required, the following qualifications are highly desirable:- Medical/Dental terminology knowledge experience
- Medicare/Medicaid knowledge
- Claims/Billing and coding experience
Benefits
As a valued member of the arenaflex team, you will enjoy a comprehensive benefits package, including:- Medical, Dental, and Vision insurance
- 401(k) Retirement Savings Plan
- Paid Time Off
- Paid T-Mobile cell service
- $500.00 Employee referral program
- Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)