**Experienced Customer Service Representatives for Healthcare - Remote Opportunity**

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? If so, we invite you to join arenaflex, a leading digital transformation company, as a Customer Service Representative for Healthcare. In this role, you will play a vital part in supporting the expanding needs of one of our largest health insurance company customers, providing top-notch service to both in-network and out-of-network providers.

• *About arenaflex**

arenaflex is a digital transformation company that has been helping customers globally, across industries, provide exceptional experiences for their customers for over 35 years. Recently recognized as a Great Place to Work in the US, we pride ourselves on creating a culture that values diversity, inclusivity, and employee growth. Our mission is to make digital processes feel more human for the customers we serve, and we're looking for talented individuals like you to join our team.

• *Key Responsibilities**

As a Customer Service Representative for Healthcare, you will be responsible for delivering an exceptional customer experience by responding to incoming calls from both in-network and out-of-network providers to assist with simple and complex inquiries. In times of high call volumes, you may receive back-to-back phone calls with an "All Hands on Deck" approach. Your duties and responsibilities will include:

• Assisting providers with claims and claims investigations
• Status Inquiries
• Denial Rationale
• Appeals
• Research and Routing
• Explanation of Payments / Explanation of Benefits Requests
• Authorizations
• Status Inquiries
• Denial Rationale
• Utilization Management Appeals
• Prior Authorization Verification
• Eligibility and Benefits
• Status Inquiries
• Interpreting Medical Benefit Grids
• Verification of Provider Participation
• Credentialing Inquiries
• Documentation
• Provider Inquiries & Specific Details
• Information provided on the phone call
• Routing Pathways
• Self-Service Options
• Assisting providers with education on available Self-Service Options

• *What We Offer**

When you join arenaflex, you'll enjoy a range of benefits that will support your personal and professional growth. These include:

• Competitive pay rate of $16/hour
• Medical, dental, and vision benefits
• Paid training
• Global Flexible Vacation Policy after training
• Company-provided equipment
• Advancement opportunities - 80% of our frontline leaders have been promoted from within
• Monthly rewards & recognition programs
• Employee Discounts
• EAP & Health and Wellness programs, including a personal trainer dedicated to arenaflex
• Weekday schedule, Monday-Friday, 8AM-5PM EST

• *Qualifications**

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

• High School Diploma or equivalent
• 1-2 years of experience working in a high-volume call center environment as a customer service representative
• Effective verbal and written communication skills
• Strong typing and analytical abilities
• 40 Words-Per-Minute typing-speed
• Active listening and problem-solving abilities
• Soft skills and positive attitude
• Multi-tasking skills with a strong attention to detail
• Time Management skills
• Sufficient Internet speeds while connected to a Remote Desktop Session (10MB Download / 2MB Upload)
• Quiet and distraction-free dedicated workspace
• Schedule adherence - Be present and on-time

• *Preferred Qualifications**

While not required, we welcome candidates with the following preferred qualifications:

• 1-2 years of experience in a medical office setting
• 1-2 years of experience with healthcare insurance
• Medicaid experience highly favored
• 1-2 years of experience with billing or coding
• 1-2 years of experience with back-end processing

• *Important Note**

This job is open only to residents of the United States, and you must be authorized to work in the US in order to be considered for employment.

• *Join Our Team**

If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry, we invite you to join arenaflex as a Customer Service Representative for Healthcare. Apply now and take the first step towards a fulfilling career with a leading digital transformation company.