**Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits**

At arenaflex, we're committed to delivering exceptional customer service to our clients while fostering a culture of care and compassion. As a Customer Service Representative, you'll play a vital role in providing timely and accurate support to our beneficiaries and providers, ensuring that they receive the right care, at the right time, in the right setting. If you're passionate about making a difference in the lives of others, we invite you to join our team and embark on a rewarding career journey.

• *Perks of this Role**

As a valued member of our team, you'll enjoy the following benefits:

• **Fully remote position**: Work from the comfort of your own home, with rotational shifts available for EST, CT, or PST.
• **Comprehensive benefits**: Enjoy full benefits, including medical, dental, vision, and more, effective the first month following your hire date.
• **Paid time off**: Balance your work and personal life with generous paid time off.
• **401k with match**: Grow your retirement savings with our 401k plan, featuring a vesting period of zero.
• **Career growth opportunities**: Join a rapidly growing national quality improvement and care management organization, with roles available across the US.

• *Who We Need**

We're seeking an experienced Customer Service Representative to provide exceptional support to our Review Team. As a key member of our team, you'll be responsible for:

• Interacting with beneficiaries and providers via the helpline, ensuring timely and accurate responses to their inquiries.
• Creating, formatting, and proofreading letters, maintaining attention to detail and grammatical accuracy.
• Maintaining timeliness and prioritizing assignments to meet deadlines.
• Utilizing internal quality control tools to assess individual work and team processes.
• Providing intake for all appeals received by arenaflex.
• Proficient in customer service guidelines and standards.
• Building and maintaining relationships with internal and external customers.

• *Why Join arenaflex?**

At arenaflex, we're passionate about improving lives through healthcare quality and clinical expertise. Our mission-driven approach has enabled us to become a leading national quality improvement and care management organization, serving over 20 million people across the US. As a valued member of our team, you'll have the opportunity to:

• Shape the future of healthcare with us.
• Work in a dynamic and supportive environment, with a focus on employee well-being.
• Develop your skills and expertise through ongoing training and professional development.
• Make a real difference in the lives of individuals and families across the country.

• *Benefits and Perks**

At arenaflex, we believe that our employees are our greatest asset. That's why we offer a comprehensive benefits package, designed to provide you and your family with additional protection, security, and support. Our benefits include:

• Comprehensive health plans.
• Paid time off.
• Retirement savings.
• Corporate wellness programs.
• Educational assistance.
• Corporate discounts.
• And more!

• *What You'll Do**

As a Customer Service Representative, you'll be responsible for:

• Typing/merging, proofing for clarity, printing, and mailing correspondence.
• Communicating verbally and in writing with external customers to furnish and request review information.
• Fostering effective working relationships between arenaflex's internal and external customers.
• Assisting with and participating in Review Team in identifying areas for potential improvement, as noted on case reviews and process.
• Answering the Beneficiary Helpline through the utilization of the hunt group and available light functions.
• Determining how to best assist caller either by a service offered by arenaflex or by referring them to an external agency and properly entering referral into CMS system.
• All letters sent out in timely manner with correct components included and reviewed for grammatical and spacing errors.
• Getting and validating notices and all components of medical records.

• *Qualifications**

To be considered for this role, you'll need:

• A high school diploma or equivalent.
• Post-high school business courses helpful.
• Medical terminology desired.
• Excellent verbal communication skills, courteous and patient demeanor, must be customer-oriented and have the ability to maintain composure under potentially stressful situations.
• Good grammar, punctuation, spelling, hyphenation, and written communications skills.
• Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers.
• General knowledge of a PC-based computer system desirable. Knowledge of various software packages with ability to learn additional software packages as needed.
• Must be able to multi-task and to prioritize assignments.
• Must have good organizational skills and be able to work independently.

• *Experience**

We're looking for candidates with:

• Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities.
• Prior work in a healthcare setting or medical terminology recommended. Previous data entry or other clerical experience is a plus.

• *Mental and Physical Requirements**

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

• *Equal Opportunity Employer**

arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

• *Apply Now**

If you're passionate about delivering exceptional customer service and making a difference in the lives of others, we invite you to apply for this exciting opportunity. Don't miss out on the chance to join our dynamic team and embark on a rewarding career journey. Apply now and take the first step towards a fulfilling career with arenaflex!