**Experienced Customer Service Representative - Healthcare Call Center (Remote)**

• *Join arenaflex in a dynamic and rewarding role as an Experienced Customer Service Representative in our Healthcare Call Center. As a key member of our remote team, you will play a vital role in delivering exceptional customer service to our members and providers, ensuring timely resolution of issues, and contributing to the success of our organization.**

• *About arenaflex**

arenaflex is a leading provider of innovative healthcare solutions, dedicated to improving the lives of our members and providers. With a strong commitment to excellence, we strive to create a positive and supportive work environment that fosters growth, learning, and collaboration. Our remote team is a key part of our organization, and we are seeking a highly skilled and motivated individual to join our ranks.

• *Job Summary**

We are seeking an Experienced Customer Service Representative to join our remote team in Florida. As a key member of our call center, you will be responsible for providing exceptional customer service to our members and providers, resolving issues in a timely and efficient manner, and contributing to the success of our organization. If you have a passion for delivering outstanding customer service, a strong background in healthcare, and excellent communication skills, we encourage you to apply for this exciting opportunity.

• *Responsibilities**

As an Experienced Customer Service Representative, you will be responsible for the following key responsibilities:

• **Assist in resolving missed visits or missed supplies**: Reach out to providers for status updates and authorizations, as needed, to ensure timely resolution of issues.
• **Assist with all LTC (Member/Provider) calls**: Focus on one call resolution and answer calls in a timely manner to ensure member satisfaction and provider engagement.
• **Review authorizations and assist with correcting authorizations**: Ensure that authorizations match the PCCP (Provider Contracting and Credentialing Process) to maintain accurate and up-to-date records.
• **Triage and route calls correctly**: Unless the member or provider insists on speaking with a CC (Customer Care) representative, try to resolve issues brought up by the caller before routing the call to CC or Sup (Supervisor).

• *Performance Expectations**

As an Experienced Customer Service Representative, you will be expected to meet the following performance expectations:

• **Call Center metrics**: Achieve a minimum of 95% or above in Talk time, Hold, Aftercall, Schedule Adherence, and Call Quality scores.
• **Schedule Adherence**: Meet or exceed schedule adherence targets to ensure timely and efficient service delivery.

• *Qualifications and Skills**

To be successful in this role, you will need to possess the following qualifications and skills:

• **Call Center experience**: A minimum of 2-3 years of experience in a call center environment, with a strong background in customer service.
• **Managed care or physician's office experience**: A minimum of 2-3 years of experience in managed care or a physician's office setting, with a strong understanding of healthcare terminology and concepts.
• **Medical terminology**: A strong understanding of medical terminology and concepts, with the ability to apply this knowledge in a customer service setting.
• **Typing skills**: Excellent typing skills, with the ability to type at least 40 words per minute.
• **LTC/Medical Authorization experience**: A minimum of 2-3 years of experience in LTC (Long-Term Care) or medical authorization, with a strong understanding of authorization processes and procedures.
• **Outlook, Word, and Microsoft Windows**: Proficiency in Outlook, Word, and Microsoft Windows, with the ability to navigate and utilize these applications in a customer service setting.
• **High School Diploma or equivalent**: A high school diploma or equivalent, with a strong commitment to ongoing learning and professional development.

• *Benefits and Perks**

As an Experienced Customer Service Representative at arenaflex, you will enjoy a range of benefits and perks, including:

• **Competitive pay rate**: A competitive pay rate of $19.50 per hour, with opportunities for overtime and bonuses.
• **Remote work flexibility**: The opportunity to work from home in a remote setting, with flexible scheduling and work arrangements.
• **Opportunities for growth and development**: A range of opportunities for growth and development, including training, mentorship, and career advancement.
• **Collaborative and supportive work environment**: A collaborative and supportive work environment, with a strong focus on teamwork and communication.

• *How to Apply**

If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

• *Equal Employment Opportunity**

arenaflex is an equal employment opportunity employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds, and are dedicated to creating a positive and supportive work environment that fosters growth, learning, and collaboration.