**Experienced Bilingual Healthcare Customer Service Representative – Remote Florida Opportunity**

At arenaflex, we're passionate about harnessing the power of technology to help our clients improve the health and well-being of the members they serve – a community's most vulnerable. As a Healthcare Customer Service Representative, you'll play a vital role in our mission to connect people with purpose, teaming with innovative thinkers who thrive on finding solutions to some of healthcare's biggest challenges. **About arenaflex** arenaflex is a leading industry player that solves business challenges and enhances the way we work and grow. Our company values flexibility, learning, and career development, offering an incredible opportunity for you to grow your career in a dynamic and supportive environment. With a strong focus on work-life balance, we empower our employees to achieve their goals and make a meaningful impact in the healthcare industry. **Your Role in Our Mission** As a Healthcare Customer Service Representative, you'll be responsible for: * Answering telephones and responding to basic customer questions and/or forwarding to appropriate personnel, utilizing your knowledge and expertise on insurance and healthcare. * Developing and implementing general insurance and healthcare policies in accordance with state and federal laws, providing expertise to investigate and adjudicate claim characteristics that do not match policy provisions. * Responding to provider appeals and meeting with providers to resolve problems/issues, advising provider review councils, state officials, and working with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs. * Processing calls in a manner that ensures service level agreements (SLAs) are met or exceeded, recording calls, processing requests, and updating account history with results of inquiry to include proper documentation. * Interfacing with team members, management, and customers in reference to customer service issues, reviewing and recommending modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions. **What We're Looking For** * Bilingual proficiency in English and Spanish is required. * 2 or more years of customer service experience in any industry. * Knowledge of basic help desk software, computer software, and Microsoft Office applications. * Strong problem-solving skills to bring inquiries to effective resolution. * Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally. * Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries. **What You Should Expect in This Role** * Candidates must reside in the state of Florida. * Call Center Hours of Operation: 7:00 AM - 6:00 PM, candidates must be able to work any assigned 8-hour shift between these hours. **Compensation and Benefits** The pay range for this position is $27,200 - $38,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. As a salaried, full-time employee, you'll be eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also offer a variety of leadership and technical development academies to help build your skills and capabilities. **Why Join arenaflex?** We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. At arenaflex, we're committed to a diverse, equitable, and inclusive workplace, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. **How to Apply** If you're passionate about making a difference in the healthcare industry and are looking for a dynamic and supportive work environment, we encourage you to apply for this exciting opportunity. Visit our Careers site for all available job role openings and learn more about arenaflex at our company website. Apply Job! Apply for this job