At arenaflex, we're dedicated to revolutionizing the healthcare industry by connecting the pieces of the fragmented healthcare system and ensuring people receive the same level of care and compassion we would want for our loved ones. Our team of passionate professionals is committed to making a meaningful impact by providing exceptional support to our valued customers, fostering a sense of job satisfaction through problem-solving and positive interactions.
**Join arenaflex for the Mission. Stay for the Culture.**
We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's why diversity and inclusion are core to our business. We're seeking an Experienced Customer Service Representative to join our team and contribute to providing better health outcomes.
**What You'll Be Doing:**
As a Customer Service Representative at arenaflex, you'll have the opportunity to make a meaningful impact by providing exceptional support to our valued customers. Your responsibilities will include:
* Answering and managing inbound inquiries regarding health plan benefits and claims, eligibility, medical and other healthcare procedures, billing and payments, and other related topics from customers in a prompt, courteous manner.
* Conducting out-bound and/or return calls to customers as necessary.
* Asking appropriate questions and listening actively to identify specific questions or issues to provide appropriate response and type of assistance the customer needs while documenting relevant information in a clear and concise manner in computer systems.
* Communicating and partnering with customers tactfully and empathetically to resolve issues, using clear language translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can comprehend and act upon.
* Handling and processing customer complaints/grievances while applying appropriate conflict management skills to de-escalate potentially stressful situations.
* Meeting the performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance.
* Adhering to all applicable department, organization, and/or regulatory policies and procedures.
**What You Bring:**
* Bilingual in Spanish & English (validated via bilingual assessment upon offer acceptance) is a plus.
* At least 1 year call center experience is required.
* Ability to handle a heavy call volume of 50-100 calls daily.
* Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills, ability to type 35 WPM, and learn new computer programs.
* Ability to work regularly scheduled shifts within hours of operation, including the training period, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed.
* Demonstrated ability to take an educative approach, listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the customer, answering questions and informing of health plan policies, procedures, or decisions.
* Ability to maintain strict confidentiality of protected health information.
* This is a work-from-home position, which requires a quiet, private workspace without noise and distractions, and reliable internet connectivity provided through a wired connection with a minimum of 100 MBPS speed.
**Preferred Qualifications:**
* 2+ years at a health plan, TPA, or related call center setting.
* Knowledge of managed care, Commercial, Marketplace, Medicaid, and/or Medicare programs; knowledge of medical policy benefits and exclusions is a plus.
**Technical Requirements:**
We require that all employees have the following technical capability at their home:
* High-speed internet over 10 Mbps.
* Specifically for all call center employees, the ability to plug in directly to the home internet router.
**Compensation and Benefits:**
The expected base salary/wage range for this position is $18. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, arenaflex is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees.
**Why Join arenaflex?**
* Work-life balance and flexibility to suit your work to your life.
* Autonomy to get things done.
* Diversity and inclusion are core to our business.
* Comprehensive benefits package.
* Opportunity to make a meaningful impact in the healthcare industry.
**How to Apply:**
If you're passionate about making a difference in the healthcare industry and have the skills and experience we're looking for, please submit your application through our website. We can't wait to hear from you!
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