Remote Reimbursement Specialist – Healthcare Benefits Verification & Customer Support (Full‑Time Contract, Fully Remote)
About arenaflex
arenaflex is a leading provider of remote workforce solutions, partnering with healthcare organizations to ensure seamless insurance verification and reimbursement processes. Our mission is to empower patients, providers, and payors with accurate, timely information that keeps therapy uninterrupted and financial operations smooth. As a fully remote employer, arenaflex invests in cutting‑edge technology, comprehensive training, and a supportive culture that values flexibility, growth, and excellence.
Position Overview
We are seeking a detail‑oriented, customer‑focused Reimbursement Specialist to join our remote call‑center team. In this role, you will re‑verify patient insurance benefits, confirm coverage continuity, and ensure that all necessary prior authorizations are active. Your work will directly impact the ability of healthcare providers to receive proper reimbursement and will help patients maintain uninterrupted access to therapy.
Key Responsibilities
- Outbound Call Management: Place 35+ outbound calls per day, aiming to close at least 20 cases daily.
- Insurance Verification: Contact insurance carriers to confirm coverage details, network status, and reimbursement rates.
- Benefit Documentation: Collect, review, and submit patient insurance benefit information according to standard operating procedures (SOPs).
- Prior Authorization Processing: Complete and file prior‑authorization forms, ensuring all required documentation is accurate and submitted on time.
- Customer Service & Support: Assist physician office staff and patients with insurance forms, answer program‑related questions, and resolve issues promptly.
- Communication & Coordination: Maintain regular contact with provider representatives, third‑party customer service reps, and pharmacy staff to coordinate benefit investigations.
- Documentation & Reporting: Accurately document all interactions, report reimbursement trends or delays, and provide necessary data for supervisory review.
- Problem Solving & Compliance: Analyze moderate‑scope problems, apply judgment within SOP guidelines, and report adverse events as required.
- Training Completion: Successfully complete a three‑week paid training program, achieving required assessment scores by the December 31 deadline.
- Equipment Logistics: Pick up required equipment in Lake Mary, FL, and return it at the end of the assignment.
Essential Qualifications
- Minimum of 1 year experience in specialty pharmacy, medical insurance, or a related healthcare setting.
- High school diploma or equivalent; additional certifications in health administration are a plus.
- Proficiency with Microsoft Office Suite (Excel, Outlook, Word).
- Ability to work from a private, designated workspace with reliable high‑speed internet.
- Strong verbal communication skills and patience for extended hold times (up to 90 minutes).
- Flexibility to work scheduled hours between 8:00 AM – 8:00 PM EST, Monday through Friday, with potential weekend overtime starting in January.
- Willingness to undergo background verification covering the last three employers.
Preferred Qualifications & Skills
- Experience with healthcare CRM platforms and benefit‑verification software.
- Demonstrated ability to meet daily call and case‑closure targets in a high‑volume environment.
- Knowledge of HIPAA regulations and ability to handle protected health information securely.
- Exceptional problem‑solving aptitude and the capacity to make sound decisions within SOP frameworks.
- Customer‑service mindset with a track record of resolving complex inquiries efficiently.
- Ability to adapt quickly to new processes, scripts, and system updates.
Training & Development
All new hires will participate in a comprehensive three‑week training program conducted from 9:00 AM – 6:00 PM EST during December. Training includes:
- Mock call simulations and live practice sessions.
- Hands‑on learning of arenaflex’s CRM, client‑specific protocols, and script navigation.
- Assessments to gauge proficiency; candidates must achieve the required scores by December 31.
- Mandatory online modules covering HIPAA, data security, and compliance.
Successful completion of training is a prerequisite for assignment to the live project environment.
Compensation, Perks & Benefits
- Hourly rate of $18.00, with an increased rate of $19.00 per hour for candidates possessing 2+ years of healthcare benefits verification experience.
- Paid training period.
- Potential overtime opportunities (client‑approved) with additional compensation.
- Flexible remote work arrangement, allowing you to balance professional and personal commitments.
- Access to arenaflex’s learning portal for ongoing skill development.
- Opportunity to gain experience in a fast‑growing segment of the healthcare reimbursement industry.
Work Environment & Culture at arenaflex
arenaflex fosters an inclusive, collaborative, and performance‑driven culture. Even though the role is fully remote, you will be part of a supportive team that values open communication, continuous feedback, and recognition of achievements. Our virtual “watercooler” sessions, regular check‑ins, and peer‑to‑peer mentorship programs ensure you never feel isolated.
We prioritize work‑life balance, offering scheduled breaks, a one‑hour lunch, and a clear schedule that respects your personal time. Our commitment to diversity and equal opportunity means we welcome candidates from all backgrounds who share our dedication to excellence.
Project Timeline & Logistics
Start Date: December 1, 2024 (technical enablement session the same week). End Date: February 15, 2024 (project‑based contract). Schedule: 40 hours per week, Monday‑Friday, between 8:00 AM – 8:00 PM EST. Weekends may be required starting in January on a volunteer basis, with all overtime requiring client approval. Holidays (tentative): December 24‑25, 2024 and December 31‑January 1, 2025.
Application Process
To be considered for this role, candidates must complete the following steps:
- Attend a position information session with arenaflex (face‑to‑face or virtual).
- Sign the “Right to Represent” agreement, authorizing arenaflex to act on your behalf for this project.
- Review and acknowledge the position requirements checklist.
- Complete a one‑way video interview hosted on arenaflex’s interview platform.
- If selected, fulfill all new‑hire requirements, including equipment pickup in Lake Mary, FL, and completion of mandatory online pre‑assignment links (HIPAA, etc.).
- Successfully complete the paid training program by December 31.
- Return the equipment to the Lake Mary location at the conclusion of the assignment.
All hiring decisions will be based on the video interview and training performance. We encourage candidates who meet the qualifications to apply promptly, as the selection process moves quickly.
Why Join arenaflex?
Working with arenaflex means you will be at the forefront of healthcare reimbursement, gaining expertise that is highly valued across the industry. You will enjoy a competitive pay structure, a clear path for advancement, and the flexibility of remote work—all while contributing to a mission that directly improves patient care continuity.
Ready to Make an Impact?
If you are a motivated, detail‑oriented professional with a passion for healthcare support and customer service, we want to hear from you. Apply today and start a rewarding journey with arenaflex, where your skills help keep therapy on track and providers properly reimbursed.
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