Experienced Customer Service Representative – Remote Opportunity with arenaflex

About arenaflex

arenaflex is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. Our mission is to help people live healthier and more satisfying lives by providing exceptional healthcare services and innovative solutions. With a culture of high performance, we strive to foster an open, cooperative, and dynamic environment where our employees can thrive and make a meaningful impact.

Join arenaflex's Team

We are seeking an experienced Customer Service Representative to join our team in Indiana. As a Customer Service Representative, you will play a vital role in delivering exceptional service to our members, resolving issues, and creating linkages to our Medical Management Department for authorization of services. This is a full-time, remote opportunity that offers a dynamic work environment, opportunities for growth and development, and a competitive compensation package.

Position Summary

As a Customer Service Representative, you will be responsible for:

• Handling daily member telephone calls, directing members to the proper services needed, educating members, problem-solving, and creating linkages to the Medical Management Department for authorization of services.
• Assisting providers with eligibility, benefit, and resolution of claims issues.
• Providing exceptional customer service, resolving issues, and escalating complex cases to the Medical Management Department as needed.
• Maintaining accurate records and documentation of member interactions and issues.
• Collaborating with internal teams to ensure seamless communication and resolution of member issues.

Essential 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.
• Excellent communication, problem-solving, and interpersonal skills.
• Ability to work in a fast-paced environment, prioritize tasks, and manage multiple projects simultaneously.
• Strong analytical and critical thinking skills to resolve complex issues.
• Proficiency in Microsoft Office Suite, particularly Excel, Word, and Outlook.

Preferred Qualifications

* One (1) year experience in a physician healthcare office environment or high-volume call center.

• One (1) year experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions.
• Experience with electronic medical records (EMRs) and healthcare software.
• Certification in customer service, such as Certified Customer Service Representative (CCSR) or Certified Customer Service Manager (CCSM).

Work Environment and Culture

* This is a full-time, remote opportunity with a flexible schedule.

• You will work in a dynamic, fast-paced environment with a team of dedicated professionals.
• arenaflex is an Equal Opportunity Employer, committed to diversity, equity, and inclusion.
• We offer a competitive compensation package, including a salary, benefits, and opportunities for growth and development.

Compensation and Benefits

* Competitive salary based on experience and qualifications.

• Comprehensive benefits package, including medical, dental, and vision insurance.
• 401(k) retirement plan with company match.
• Paid time off, including vacation, sick leave, and holidays.
• Opportunities for professional development and growth.

How to Apply

If you are a motivated, customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience, qualifications, and why you are the ideal candidate for this role. Apply for this job