**Experienced Customer Service Representative – Remote Opportunity to Empower Better Health Outcomes**

At arenaflex, we're dedicated to revolutionizing the healthcare industry through innovative technology, services, and clinical expertise. Our mission is to deliver maximum value and impact, empowering better health outcomes for individuals and communities nationwide. We're seeking an experienced Customer Service Representative to join our growing team of passionate individuals who share our vision for a healthier tomorrow. **About arenaflex** arenaflex exists to empower better health outcomes through technology, services, and clinical expertise. Our team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as a vital partner to ensure better healthcare and improve health outcomes. **Job Summary** We're looking for a highly skilled and customer-focused Customer Service Representative to join our remote team. As a key member of our customer service team, you'll be responsible for providing exceptional service to our clients, resolving customer inquiries, and ensuring that our internal policies and procedures are followed. If you're passionate about delivering outstanding customer experiences and have a strong background in customer service, we encourage you to apply for this exciting opportunity. **Key Responsibilities** * Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational) * Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes * Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times * Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures * Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients * Perform verification of healthcare services to facilitate payment for received services * Identify medical claims meeting CPT/DRG audit criteria and submits the necessary billing data and healthcare records to the third-party auditor * Serve as liaison between the internal and external partners * Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party * Meet or exceed standards for call volume and service level per department guidelines * Initiate cases by collecting and entering demographic, provider, and procedure information into the system * May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting **Requirements** * High School diploma or equivalent * Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications * Effective verbal and listening skills to provide courteous and professional customer service **Preferred Qualifications** * Knowledge of the health insurance industry * Experience working in a healthcare setting * Medical terminology knowledge is preferred * Bilingual (Spanish/English) skills are a plus * Minimum of two years of customer service experience **Why Join arenaflex?** * We're a team of passionate individuals who share a common goal of delivering exceptional customer experiences and improving health outcomes. * We offer a dynamic and supportive work environment that encourages growth and development. * Our comprehensive benefits package includes comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. * We're committed to providing ongoing training and development opportunities to help you achieve your career goals. **Compensation** The pay range for this position is $15.48-$17.20 an hour. Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level. **How to Apply** If you're a motivated and customer-focused individual who is passionate about delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity. Please visit our website at arenaflex.com/careers to submit your application. **Equal Opportunity Employer** arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. **EOE AA M/F/Vet/Disability** arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. Apply for this job