Experienced Healthcare Customer Service Advocate – Insurance Plan Expertise and Member Support Specialist

Welcome to arenaflex: Empowering Healthcare Excellence arenaflex is at the forefront of the healthcare industry, dedicated to providing exceptional service and support to its members. As a leader in healthcare solutions, we are committed to fostering a culture of excellence, innovation, and compassion. Our team is passionate about making a positive impact on the lives of our members, and we are seeking a talented and dedicated Healthcare Customer Service Advocate to join our dynamic team. About the Role: Healthcare Customer Service Advocate In this critical role, you will serve as the primary point of contact for our members, providing expert guidance and support related to their insurance plans, eligibility, benefits, and claims. As a Healthcare Customer Service Advocate, you will be responsible for delivering exceptional customer service, resolving member inquiries, and ensuring seamless communication. If you have a strong passion for healthcare, excellent communication skills, and a keen understanding of various insurance plan types, we encourage you to apply for this exciting opportunity. Key Responsibilities: Phone Skills: Receive and respond to member inquiries via inbound calls using NICE inContact - Max Agent, and make outbound calls to members, vendors, and other departments as needed. Eligibility and Enrollment: Verify member status, including ID numbers and personal information, using Salesforce, CSC, and QNXT, and confirm member eligibility and plan effective dates. Member Correspondence: Manage member correspondence, including sending plan documents and updating demographics, to ensure accurate and timely communication. Call Flow Processes: Follow established call flow processes for member interactions, and understand and apply protocols for using the language line for effective communication. Insurance Plan Expertise: Recognize and understand various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare), and demonstrate familiarity with common insurance terminology and procedures. Essential Qualifications: Healthcare Knowledge: Strong understanding of various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare). Communication Skills: Excellent verbal and written communication skills, with the ability to effectively communicate complex information to members. Customer Service: Proven experience in providing exceptional customer service, with a strong focus on resolving member inquiries and concerns. Technical Skills: Proficiency in using software applications, including Salesforce, CSC, and QNXT, and experience with NICE inContact - Max Agent. Preferred Qualifications: Healthcare Experience: Previous experience in a healthcare setting, with a strong understanding of healthcare terminology and procedures. Insurance Industry Knowledge: Familiarity with the insurance industry, including common insurance terminology and procedures. Call Center Experience: Experience working in a call center environment, with a strong understanding of call flow processes and protocols. Language Skills: Bilingual or multilingual skills, with the ability to communicate effectively with members who speak languages other than English. Skills and Competencies: Active Listening: Ability to listen attentively to member inquiries and concerns, and respond effectively. Problem-Solving: Strong problem-solving skills, with the ability to resolve complex member inquiries and concerns. Time Management: Ability to manage multiple tasks and priorities, with a strong focus on meeting deadlines and achieving goals. Teamwork: Strong teamwork and collaboration skills, with the ability to work effectively with cross-functional teams. Career Growth Opportunities and Learning Benefits At arenaflex, we are committed to the growth and development of our employees. As a Healthcare Customer Service Advocate, you will have access to comprehensive training and development programs, designed to enhance your skills and knowledge in the healthcare industry. You will also have opportunities to advance your career, with a clear path for professional growth and advancement. Work Environment and Company Culture arenaflex is proud to offer a dynamic and supportive work environment, with a strong focus on employee engagement and satisfaction. Our company culture is built on the values of compassion, integrity, and excellence, and we are committed to fostering a positive and inclusive work environment. As a member of our team, you will be part of a collaborative and dynamic community, with opportunities to make a positive impact on the lives of our members. Compensation, Perks, and Benefits arenaflex offers a competitive compensation package, with a range of perks and benefits designed to support the well-being and success of our employees. These may include comprehensive health insurance, retirement savings plans, paid time off, and opportunities for professional growth and advancement. Conclusion: If you are a motivated and compassionate individual, with a strong passion for healthcare and excellent communication skills, we encourage you to apply for this exciting opportunity. As a Healthcare Customer Service Advocate at arenaflex, you will be part of a dynamic team, dedicated to delivering exceptional service and support to our members. Join us in our mission to empower healthcare excellence, and take the first step towards a rewarding and challenging career in the healthcare industry. Apply now to become a part of the arenaflex team! Apply for this job