Experienced Customer Service Advisor – Remote Healthcare Support

As a leading global IT solutions and services company, arenaflex is dedicated to delivering exceptional customer experiences across multiple continents and 66 countries. We are seeking highly motivated and skilled individuals to join our remote healthcare customer service intake call center team in Alabama. If you have a passion for delivering top-notch customer service, a strong problem-solving background, and a desire to grow with a dynamic organization, we encourage you to apply for this exciting opportunity.

About arenaflex

arenaflex is a global IT solutions and services company with over 240,000 dedicated employees serving clients across multiple continents and 66 countries. We offer a strong compensation package that includes competitive pay and day one benefits. Our engaging and exciting culture provides numerous opportunities for career advancement, and we are committed to fostering a collaborative and inclusive work environment.

Job Summary

As a Health Insurance Customer Service Advisor, you will play a vital role in supporting our members and health providers by creating and reviewing prior authorization requests, enrolling members into CMC programs, and providing exceptional customer service. This is a remote position that requires you to be available to work 8 hours per day, Monday through Friday, from 7am to 7pm CST.

Key Responsibilities

* This is a call center production role for inbound calls, and you will be responsible for meeting production, quality, and regulatory expectations.

• Ensure that cases are set up correctly and document required information.
• Review, research, and determine if cases can be decisioned or if they require additional clinical review.
• Demonstrate proficiency and decision-making by solving complex problems using available resources (documents, medical policy, standard operating procedure, etc.).
• As needed, make outbound calls to providers and/or members to obtain information regarding a case.
• As needed, make occasional outbound calls to providers to coordinate provider availability in treating members.
• Perform other duties as assigned by your manager and/or director.

Essential Qualifications

* High School Diploma or GED (or higher) – You will be required to provide documentation for verification.

• 2+ years of combined or related experience in healthcare administration with an understanding of medical terminology.
• 1+ year of call center experience.
• Proficiency with Microsoft Office Word (create and maintain documents), Excel (create and maintain spreadsheets), and Outlook (email and calendaring).
• Ability to type at a speed of 35+ WPM.
• Ability to follow a script for every call.
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy in compliance with HIPAA regulations.
• High-speed internet with 20mbps upload/download speed.
• Ability to work one of the varying shifts to support our 24-hour, 7-day-a-week operations.

Preferred Qualifications

* Associate’s Degree (or higher) in a healthcare-related field.

• Medical Terminology.
• ICD-9/ICD-10 and CPT Knowledge.

Skills and Competencies

* Excellent communication and interpersonal skills.

• Strong problem-solving and decision-making skills.
• Ability to work in a fast-paced environment and meet production, quality, and regulatory expectations.
• Proficiency in Microsoft Office Suite and ability to learn new software applications quickly.
• Strong typing skills and ability to maintain accurate records.
• Ability to work independently and as part of a team.
• Strong customer service skills and ability to provide exceptional service to members and health providers.

Career Growth Opportunities and Learning Benefits

arenaflex is committed to providing opportunities for career growth and development. As a Health Insurance Customer Service Advisor, you will have the opportunity to:

• Develop your skills and knowledge in healthcare administration and customer service.
• Work with a dynamic team of professionals who are passionate about delivering exceptional customer experiences.
• Participate in ongoing training and development programs to enhance your skills and knowledge.
• Take on new challenges and responsibilities as you grow with the organization.

Work Environment and Company Culture

arenaflex is a remote-friendly organization that values flexibility and work-life balance. As a Health Insurance Customer Service Advisor, you will have the opportunity to work from the comfort of your own home, with access to high-speed internet and a dedicated workspace. Our company culture is built on the principles of collaboration, innovation, and customer-centricity. We are committed to fostering a positive and inclusive work environment that supports the growth and development of our employees.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package that includes:

• Competitive salary.
• Day one benefits.
• Opportunities for career advancement and professional growth.
• Ongoing training and development programs.
• Flexible work arrangements and remote work options.
• Access to high-speed internet and a dedicated workspace.
• Opportunities to work with a dynamic team of professionals who are passionate about delivering exceptional customer experiences.

How to Apply

If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! Please submit your application, including your resume and a cover letter, to [insert contact information]. We are excited to review your application and look forward to the opportunity to discuss this position further with you. Apply To This Job Apply for this job