Experienced Full Stack Customer Service Representative – Non-Clinical Support

About arenaflex

Arenaflex is a leading organization in the healthcare industry, dedicated to providing exceptional customer service and support to our members and providers. We are committed to delivering high-quality services that meet the evolving needs of our clients, and we are seeking a talented and experienced Customer Service Representative to join our team.

Job Summary

We are seeking a highly skilled and motivated Customer Service Representative to join our team on a temporary to permanent basis. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our members and providers, resolving issues, and creating linkages to the Medical Management Department for authorization of services. This is a remote work-from-home position with onsite/virtual training, and you will have the opportunity to work with a dynamic team of professionals who are passionate about delivering exceptional customer service.

Key Responsibilities

• Meet the Department standard of calls answered, and call documentation entered.
• Assist Members and Providers with questions and concerns, including:
• Finding Provider(s)/Services for members
• Arrange Transportation for members
• Answer billing/claims status questions; resolve claim issues for members
• Assist with pharmacy issues
• Help Members access community support services
• Verify member eligibility
• Quote benefits
• Assist with Referrals
• Assist with member health assessments
• Assist members with closing gaps in care
• Ongoing member education.
• Responsible for all benefits information given to Members and Providers.
• Participate in Departmental Projects, as appropriate.
• Coordinate quality improvement initiatives with Medical Management, Provider Relations, and Quality Depts., i.e., Preventative Health Screenings.
• Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.

Requirements

To be successful in this role, you will need to possess the following qualifications and skills:

• 1 year of experience in a customer service or call center environment.
• High school diploma or equivalent.
• Spanish speaking proficiency (required).
• Bilingual applicants preferred (eligible for an increase in pay rate).
• Candidates must reside in Indiana.

Preferred Qualifications

We are looking for candidates who possess the following preferred qualifications:

• 1+ year of experience in a call center environment.
• Bilingual applicants.

Work Environment and Company Culture

Arenaflex is a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction. As a Customer Service Representative, you will have the opportunity to work with a talented team of professionals who are passionate about delivering exceptional customer service. We offer a remote work-from-home environment with onsite/virtual training, and we are committed to providing a supportive and inclusive work environment that promotes growth and development.

Compensation and Benefits

We offer a competitive salary and a range of benefits, including:

• A competitive salary.
• Opportunities for career growth and development.
• A supportive and inclusive work environment.
• Remote work-from-home environment with onsite/virtual training.

Career Growth Opportunities and Learning Benefits

Arenaflex is committed to providing opportunities for career growth and development. As a Customer Service Representative, you will have the opportunity to develop your skills and knowledge in areas such as:

• Customer service and support.
• Communication and interpersonal skills.
• Problem-solving and conflict resolution.
• Quality improvement and process optimization.

How to Apply

If you are a motivated and experienced Customer Service Representative who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application without delay, and we look forward to hearing from you.