Experienced Customer Service Representative – Medical Claims Processing

At arenaflex, we're dedicated to providing exceptional customer service and support to our clients and customers. As a key member of our team, you'll play a vital role in ensuring the smooth processing of medical claims and delivering outstanding service to our clients. If you're passionate about delivering top-notch customer service and have a knack for problem-solving, we want to hear from you!

About arenaflex

arenaflex is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through cutting-edge technology and exceptional customer service. With a strong commitment to quality and excellence, we're dedicated to making a positive impact in the lives of our clients and customers.

Job Summary

We're seeking an experienced Customer Service Representative to join our team in processing medical claims and providing exceptional service to our clients. As a key member of our team, you'll be responsible for:

• Processing medical claims and communicating with providers about the claims process
• Expediting the claims process and providing detailed claim notes on all calls
• Resolving issues and directing calls to an appropriate escalation path as needed
• Educating and informing customers about documentation required to process a claim, required time frames, payment information, and claim status
• Entering verbal and written application information into the claims management system
• Assigning new claims to the appropriate claims handler
• Directing customer calls to the appropriate contact at multiple locations or escalating to Service Center Specialist/management as needed

Essential Functions and Responsibilities

* Acts as primary liaison with callers, following client specifications in assisting with questions and solving problems related to the claims process and servicing processes

• Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status
• Educates members and providers on client requirements and benefit plans, documenting all required details of the call in a concise professional manner
• Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system
• Assigns new claims to the appropriate claims handler
• Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed
• Performs other duties as assigned, supporting the organization's quality program(s)

Requirements

* 1-2 years of experience in claims and customer service

• US Citizenship required
• Ability to work a set shift (8:00am - 4:30pm, 8:30am - 5:00pm, or 11:30am - 8:00pm)
• 90-day duration with the option for extension
• Remote work arrangement with a minimum IT requirement (Supplier partners MUST confirm that candidates meet the work from home IT)

Preferred Qualifications

* Experience in the healthcare industry

• Strong communication and problem-solving skills
• Ability to work in a fast-paced environment
• Proficiency in claims management systems

Skills and Competencies

* Excellent communication and interpersonal skills

• Strong problem-solving and analytical skills
• Ability to work in a fast-paced environment
• Proficiency in claims management systems
• Strong attention to detail and organizational skills
• Ability to work independently and as part of a team

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a range of training and development opportunities, including:

• On-the-job training and mentorship
• Regular feedback and coaching
• Opportunities for advancement and career growth
• Access to industry-leading training and development programs

Work Environment and Company Culture

arenaflex is a dynamic and fast-paced work environment that values innovation, collaboration, and customer service. We're committed to creating a positive and inclusive work culture that supports the well-being and success of our employees.

Compensation, Perks, and Benefits

We offer a comprehensive benefits package that includes:

• Competitive salary
• Minimum Essential Coverage (MEC) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services
• Opportunities for career growth and advancement
• Flexible work arrangements, including remote work options
• Access to industry-leading training and development programs

Equal Employment Opportunities

arenaflex is an equal employment opportunity employer and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

How to Apply

If you're passionate about delivering exceptional customer service and have a knack for problem-solving, we want to hear from you! Click the link below to apply for this exciting opportunity: Apply To This Job

Simple Application Process

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