**Experienced Customer Service Representative – Insurance and Healthcare Industry**

At arenaflex, we pride ourselves on being a leader in the insurance and healthcare industry, providing innovative solutions and exceptional customer experiences. Our team is dedicated to delivering top-notch service, and we're looking for talented individuals to join our ranks as Customer Service Representatives. **About arenaflex** Headquartered in Washington, arenaflex has established a strong presence across 26 sites in seven countries, employing a network of over 30,000 employees. Our commitment to excellence is evident in the environment we create for our agents, from the selection process to benefits, training, and ongoing support. We believe that a quality agent makes all the difference in delivering exceptional customer experiences, and we're dedicated to fostering a culture that encourages growth, innovation, and collaboration. **The Role** As a Customer Service Representative at arenaflex, you'll play a vital role in delivering exceptional customer experiences across multiple lines of business. You'll work directly with customers to answer general inquiries, address concerns, and assist with requests about products and services. Your primary goal will be to project a professional company image and provide superior customer service while working with customers through various contact channels. **Responsibilities** Your day-to-day will involve: * Resolving coordination of benefits inquiries by analyzing patient activity (including enrollment, third-party liability, claims attachments) * Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information * Thoroughly and completely documenting all customer interactions * Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations * Educating on the usage and benefits of self-service tools * Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist * Directing inquiries to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role * Responding to customer inquiries in a courteous and professional manner * Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels, including phone, email, web portal, and chat interactions * Responding to and resolving internal and external complex customer inquiries * Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken * Taking ownership of the resolution and setting expectation for follow-up * Ensuring resubmissions, stop payments, and voids are appropriately handled * Meeting or exceeding individual, department, and client-specific goals * Understanding and adhering to all client administrative and contractual policies and procedures * Suggesting ways to improve the service delivery processes contributing to the success of the organization * Other duties as assigned **Qualifications** Some things we consider critical for this role: * High School Diploma or Equivalent * 2 years of experience in a high-volume customer service environment * Experience in healthcare or related industry experience preferred * Ability to multi-task using multiple applications simultaneously * Ability to set-up computer equipment and troubleshoot issues with minimal assistance * Professional verbal and written communication skills * Ability to operate a computer and knowledge of Microsoft Office applications * Strong organizational skills and attention to detail * Ability to work independently and with a team * Cooperative, professional, and effective interaction skills * Critical thinking and problem-solving skills * Ability to tolerate repetitive work without compromising accuracy and service levels * Attend additional training as requested/deemed necessary **Preferred Qualifications** * Medical/Dental terminology knowledge experience * Medicare/Medicaid knowledge * Claims/Billing and coding experience **arenaflex Benefits** * Medical, Dental, and Vision insurance * 401(k) Retirement Savings Plan * Paid Time Off * Paid T-Mobile cell service * $500.00 Employee referral program * Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental, and much more!) **Why Join arenaflex?** At arenaflex, we're committed to creating a work environment that fosters growth, innovation, and collaboration. We believe in investing in our employees and providing opportunities for career advancement. Our benefits package is designed to support your well-being and provide a comfortable work-life balance. **How to Apply** If you're a motivated and customer-focused individual looking for a challenging and rewarding role, we encourage you to apply. Please visit our website to submit your application and join our team at arenaflex. Apply Now! Apply for this job