Experienced Customer Service Representative for Medicare Population - Remote Opportunity with arenaflex

Welcome to arenaflex arenaflex is a leading organization in the healthcare industry, dedicated to helping people live healthier and more satisfying lives. With a culture of high performance and a mission to deliver quality service, we are seeking a talented Customer Service Representative to join our team. As a key member of our organization, you will play a vital role in driving us forward and providing exceptional support to our members. About Our Health Plans arenaflex operates two health plans: one based in Michigan and the other in Indiana. Our Michigan-based health plan is dedicated to meeting the healthcare needs of our Michigan members, while our Indiana-based health plan works with the State of Indiana and Centers for Medicare and Medicaid Services to bring health insurance programs to our members. To learn more about our health plans, please visit our websites. Position Summary We are looking for an experienced Customer Service Representative to handle daily member telephone calls, providing support and guidance to our Medicare population. As a Customer Service Representative, you will be responsible for directing members to the proper services, educating them on available options, and problem-solving to resolve issues. You will also create linkages to our Medical Management Department for authorization of services and assist providers with eligibility, benefit, and resolution of claims issues. Key Responsibilities: Handle daily member telephone calls, providing exceptional customer service and support Direct members to the proper services, educating them on available options and benefits Problem-solve to resolve issues and create linkages to our Medical Management Department for authorization of services Assist providers with eligibility, benefit, and resolution of claims issues Work collaboratively with our Medical Management Department to ensure seamless service delivery Meet or exceed performance metrics, including call handling time, resolution rate, and customer satisfaction Qualifications To be successful in this role, you will need: Required Qualifications: High School Diploma or equivalent certification One (1) year experience in a customer service related role with direct contact with customers via telephone, email, chat and/or face-to-face Preferred Qualifications: One (1) year experience in a physician health care office environment or high-volume call center One (1) year experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions Healthcare or Medicare customer service experience Skills and Competencies To excel in this role, you will need: Essential Skills: Excellent communication and interpersonal skills Strong problem-solving and analytical skills Ability to work in a fast-paced environment, handling multiple calls and resolving issues efficiently Strong attention to detail and ability to maintain accurate records Ability to work collaboratively with our Medical Management Department and other stakeholders Preferred Skills: Experience with healthcare or Medicare customer service Knowledge of HMO, PPO, TPA, PHO and Managed Care functions Experience working in a high-volume call center or physician health care office environment Career Growth Opportunities and Learning Benefits At arenaflex, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to training and development opportunities, including: Comprehensive training program to ensure your success in the role Ongoing coaching and feedback to help you grow and develop in your career Opportunities for advancement and career progression within the organization Access to industry-leading training and development programs Work Environment and Company Culture arenaflex is a dynamic and supportive work environment, where employees are valued and empowered to make a difference. As a Customer Service Representative, you will be part of a team that is passionate about delivering exceptional service and making a positive impact on our members' lives. Company Culture Highlights: Collaborative and supportive work environment Opportunities for growth and development Recognition and reward for outstanding performance Comprehensive benefits package, including health, dental, and vision insurance 401(k) retirement savings plan with company match Paid time off and holidays Compensation, Perks, and Benefits arenaflex offers a competitive compensation package, including a salary range of $40,000 - $60,000 per year, depending on experience. In addition to your salary, you will also be eligible for a comprehensive benefits package, including health, dental, and vision insurance, 401(k) retirement savings plan with company match, paid time off, and holidays. Conclusion If you are a motivated and customer-focused individual, looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. As a Customer Service Representative with arenaflex, you will be part of a dynamic team that is dedicated to delivering exceptional service and making a positive impact on our members' lives. Apply today and take the first step towards a rewarding and challenging career with arenaflex! Apply now and join our team of dedicated professionals who are passionate about delivering exceptional service and making a difference in the lives of our members. Apply for this job