Experienced Concierge Customer Service Representative – Remote Healthcare Support Specialist

Introduction to arenaflex arenaflex is a leading innovator in the healthcare industry, dedicated to providing exceptional customer experiences and support. With a strong commitment to quality care and improved outcomes, we have been partnering with clients for over 35 years to develop effective solutions that address their unique needs. Our team of passionate and driven individuals thrives on innovation and collaboration, and we are now seeking an experienced Concierge Customer Service Representative to join our dynamic team. As a remote healthcare support specialist, you will play a critical role in servicing and satisfying our customers by responding to their inquiries and providing top-notch support. Job Overview In this critical position, you will be responsible for handling customer interactions with excellence, responding to inquiries, and resolving issues in a timely and professional manner. As a Concierge Customer Service Representative, you will be the face of arenaflex, providing exceptional support to our customers and ensuring their needs are met with precision and care. If you have a strong passion for delivering outstanding customer experiences and are equipped with excellent communication skills, we encourage you to apply for this exciting opportunity. Key Responsibilities Respond to telephone and email inquiries from members and providers within defined service standards, ensuring timely and effective resolution of issues. Negotiate with providers to gain acceptance for plans without network agreements and/or out-of-network providers, utilizing strong analytical and research skills. Assist members with benefits and healthcare questions, providing clear and concise information to ensure their needs are met. Document all calls received in a system-based call log, maintaining accurate and detailed records of customer interactions. Take initiative to resolve situations and accomplish projects, actions, and tasks, demonstrating independent judgment and decision-making skills. Build strong relationships with internal and external customers, fostering a culture of collaboration and exceptional customer service. Essential Qualifications Minimum HS Diploma/GED, with 2 years of college or higher education preferred. One year of customer service or call center experience in a healthcare-related role, with medical intake or Third-Party Administrator (TPA) experience preferred. Bilingual English-Spanish is a plus, with excellent verbal and written communication skills. Strong customer relations and interpersonal skills, with the ability to handle difficult situations tactfully and diplomatically. Proficient with Microsoft applications, strong computer skills, and computer navigation, with excellent data entry and typing skills. Knowledge of provider organizations and networks, with an understanding of CMS Medicare reimbursement rates and the ability to effectively negotiate rate structures. Preferred Qualifications Medical terminology and knowledge of self-funded health benefits. Claim processing skills and experience with insurance verification or precertification. Strong analytical and research skills, with the ability to multitask and anticipate potential needs/problems. Experience working in a provider office/facility billing department or financial area. Career Growth Opportunities and Learning Benefits At arenaflex, we are committed to the growth and development of our team members. As a Concierge Customer Service Representative, you will have access to ongoing training and development opportunities, enabling you to enhance your skills and knowledge in the healthcare industry. Our comprehensive benefits package includes paid time off, medical, dental, vision, short and long-term disability, life insurance, AD&D, 401k with match, critical illness coverage, and discount programs. Work Environment and Company Culture arenaflex offers a dynamic and supportive work environment that fosters collaboration, innovation, and exceptional customer service. As a remote employee, you will have the flexibility to work from the comfort of your own home, with the opportunity to connect with our team through regular virtual meetings and training sessions. Our company culture is built on a foundation of respect, empathy, and inclusivity, and we are committed to creating a workplace that is welcoming and inclusive for all employees. Compensation and Benefits The pay range for this position is $16.00 to $18.00 per hour, with opportunities for growth and advancement within the company. Our comprehensive benefits package includes a range of perks and benefits, such as paid time off, medical, dental, vision, short and long-term disability, life insurance, AD&D, 401k with match, critical illness coverage, and discount programs. Conclusion If you are a motivated and customer-focused individual with a passion for delivering exceptional support, we encourage you to apply for this exciting opportunity. As a Concierge Customer Service Representative at arenaflex, you will have the chance to make a real difference in the lives of our customers, while growing and developing your skills in a dynamic and supportive environment. Don't miss out on this opportunity to join our team and take your career to the next level. Apply now to become a part of the arenaflex family and start your journey to success! Apply for this job