Experienced Customer Service Representative II – Remote Opportunity with arenaflex

At arenaflex, we're committed to delivering exceptional customer experiences that exceed our members' expectations. As a Customer Service Representative II, you'll play a vital role in providing timely and accurate responses to member and provider inquiries, ensuring seamless interactions and fostering a culture of empathy and understanding.

About arenaflex

arenaflex is a dynamic organization dedicated to improving the lives of our members and communities. We strive to create a diverse and inclusive workforce, where everyone feels valued, respected, and empowered to make a difference. Our commitment to equity, social justice, and community well-being drives our work, and we're passionate about creating a positive impact.

The Role

As a Customer Service Representative II, you'll be part of a collaborative team that responds to member and provider inquiries regarding benefits, eligibility, claims status, and other related issues. Your primary responsibilities will include:

• Providing first call resolution by responding accurately and courteously to member and provider inquiries
• Documenting inquiries, complaints, and other data in our computer database in an accurate, clear, and timely manner
• Supporting CHPW members during the Medicare Annual Election Period, including working variable shifts and weekend hours
• Advising providers on the outcome of claim processing and taking appropriate action on behalf of the provider and arenaflex
• Meeting attendance and call quality standards
• Performing all functions of the job with accuracy, attention to detail, and within established timeframes

Essential Qualifications

To succeed in this role, you'll need:

• A minimum of three (3) years of call center experience, preferably in insurance, managed care, or from a provider setting
• Experience with state and federal programs, including Washington Apple Health, Medicare Advantage Plans
• Knowledge of medical terminology and healthcare
• Excellent verbal and written communication skills, including typing
• Ability to gather and assess information from multiple systems, apply protocols, and determine appropriate actions
• Ability to use MS Office products, such as Outlook, Word, and Excel

Preferred Qualifications

While not required, the following qualifications will make you an even stronger candidate:

• Experience working in a 100% remote environment
• Familiarity with claims and claims processing
• Knowledge of medical terminology and healthcare
• Ability to summarize calls, notes, and create clear and concise documentation

Skills and Competencies

To excel in this role, you'll need:

• Excellent communication and interpersonal skills
• Ability to work in a fast-paced environment with multiple priorities
• Strong analytical and problem-solving skills
• Ability to learn and adapt to new systems and processes
• Strong attention to detail and accuracy
• Ability to work independently and as part of a team

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping you grow and develop your skills. You'll have access to:

• Ongoing training and development opportunities
• Mentorship and coaching from experienced colleagues
• Opportunities for career advancement and professional growth
• A supportive and inclusive work environment that encourages collaboration and innovation

Work Environment and Company Culture

As a remote employee, you'll have the flexibility to work from anywhere, while still being part of a dynamic and supportive team. Our company culture is built on:

• Empathy and understanding
• Collaboration and teamwork
• Innovation and creativity
• Continuous learning and growth
• Diversity, equity, and inclusion

Compensation, Perks, and Benefits

arenaflex offers a competitive salary, as well as a range of benefits and perks, including:

• Medical, Prescription, Dental, and Vision coverage
• Telehealth app
• Flexible Spending Accounts, Health Savings Accounts
• Basic Life AD&D, Short and Long-Term Disability
• Voluntary Life, Critical Care, and Long-Term Care Insurance
• 401(k) Retirement and generous employer match
• Employee Assistance Program and Mental Fitness app
• Financial Coaching, Identity Theft Protection
• Time off, including PTO accrual starting at 17 days per year
• 40 hours Community Service volunteer time
• 10 standard holidays, 2 floating holidays
• Compassion time off, jury duty

Sensory, Physical, and Mental Requirements

This role requires:

• Extended periods of sitting, computer use, talking, and possibly standing
• Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion
• Frequent torso/back static position; occasional stooping, bending, and twisting
• Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations
• Analytical/problem solving/critical thinking ability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

arenaflex is an equal opportunity employer committed to a diverse and inclusive workforce. We welcome applications from qualified candidates who share our values and are passionate about making a difference.

Take the Next Step

Are you ready to join our team and make a positive impact? Apply now and let's discuss how you can become a vital part of our success story. Apply to this job Apply for this job