Experienced Concierge Customer Service Representative – Remote Healthcare Support Specialist

Welcome to arenaflex: Empowering Exceptional Customer Experiences in Healthcare arenaflex is a leading provider of innovative healthcare solutions, dedicated to delivering exceptional customer experiences and support. We are seeking a highly skilled and versatile Concierge Customer Service Representative to join our team, working remotely to provide top-notch service to our members and providers. As a critical member of our customer service team, you will play a vital role in ensuring that our customers receive accurate, timely, and satisfying support, responding to their inquiries, and resolving their concerns with professionalism and empathy. About the Role In this dynamic and challenging position, you will be responsible for handling complex customer interactions, negotiating with providers, and providing expert guidance on benefits and healthcare questions. Your exceptional communication skills, both verbal and written, will enable you to build strong relationships with our internal and external customers, while your analytical and problem-solving skills will allow you to navigate complex situations and resolve issues efficiently. As a Concierge Customer Service Representative at arenaflex, you will be the face of our organization, representing our values of compassion, integrity, and excellence in every interaction. Key Responsibilities Respond to telephone and email inquiries from members and providers within defined service standards, ensuring timely and accurate resolution of their concerns Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers, utilizing your excellent communication and interpersonal skills Assist members with benefits and healthcare questions, providing clear and concise information to empower them to make informed decisions Document all calls received in our system-based call log, maintaining accurate and detailed records of customer interactions Take initiative to resolve situations and accomplish project actions and tasks, demonstrating your ability to work independently and as part of a team Build relationships with internal and external customers, fostering a culture of collaboration and mutual respect Essential Qualifications To be successful in this role, you will need: A minimum of a High School Diploma or GED, with 2 years of college or higher education preferred At least one year of customer service or call center experience in a healthcare-related role, with medical intake or Third-Party Administrator (TPA) experience highly desirable Bilingual English-Spanish skills are a plus, as are knowledge of provider organizations and networks, CMS Medicare reimbursement rates, and medical terminology Strong computer skills, including proficiency with Microsoft applications and excellent data entry and typing skills Ability to handle confidential and sensitive information with discretion and professionalism Preferred Qualifications In addition to the essential qualifications, we are looking for candidates with: Experience with claim processing, insurance verification, or pre-certification Knowledge of self-funded health benefits and provider office/facility billing department or financial area Strong analytical and research skills, with the ability to anticipate potential needs and problems Excellent negotiation and problem-solving skills, with the ability to think critically and creatively Skills and Competencies To excel in this role, you will need to possess: Exceptional customer service skills, with the ability to empathize with customers and provide personalized support Strong communication and interpersonal skills, with the ability to build relationships and negotiate effectively Ability to work independently and as part of a team, with a strong sense of initiative and self-motivation Strong analytical and problem-solving skills, with the ability to navigate complex situations and resolve issues efficiently Ability to maintain confidentiality and handle sensitive information with discretion and professionalism Career Growth Opportunities and Learning Benefits At arenaflex, we are committed to the growth and development of our employees. As a Concierge Customer Service Representative, you will have access to: Comprehensive training and onboarding program, designed to equip you with the skills and knowledge needed to succeed in your role Ongoing coaching and feedback, to help you refine your skills and address areas for improvement Opportunities for career advancement, with a clear path for professional growth and development Access to industry-leading training and development programs, to help you stay up-to-date with the latest trends and best practices in healthcare Work Environment and Company Culture At arenaflex, we pride ourselves on our positive and supportive work environment, with a culture that values compassion, integrity, and excellence. As a remote employee, you will be part of a dynamic and distributed team, with opportunities to collaborate and connect with colleagues from across the organization. Our company culture is built on the principles of: Respect and empathy, with a commitment to treating all customers and colleagues with dignity and respect Integrity and transparency, with a focus on honesty and openness in all our interactions Excellence and innovation, with a passion for delivering exceptional customer experiences and staying at the forefront of industry trends Compensation, Perks, and Benefits We offer a competitive compensation package, with a pay range of $16.00 to $18.00 per hour, as well as a range of perks and benefits, including: Comprehensive health insurance, with medical, dental, and vision coverage 401(k) retirement plan, with company match Paid time off, including vacation, sick leave, and holidays Opportunities for professional growth and development, with a clear path for career advancement Conclusion If you are a motivated and customer-focused individual, with a passion for delivering exceptional support and service, we encourage you to apply for this exciting opportunity to join our team at arenaflex. As a Concierge Customer Service Representative, you will be part of a dynamic and dedicated team, working together to empower exceptional customer experiences in healthcare. Apply now to take the first step in your career journey with arenaflex! Apply for this job