Remote Customer Service Representative - Healthcare Support Specialist (Full Benefits Available)

Join the arenaflex Team as a Customer Service Representative

Are you an experienced Customer Service Representative looking for a new challenge? Do you value customer service and helping your community? Are you motivated, energetic, and excited to become part of the arenaflex team? If so, you might be our next new team member!

At arenaflex, we believe that great customer service is the foundation of quality healthcare. We are looking for a dedicated Customer Service Representative to provide comprehensive customer service support for our Review Team. This is an exciting opportunity to work with a nationally recognized quality improvement and care management organization that is making a real difference in the lives of millions of people across the United States.

Why Choose arenaflex?

Arenaflex is a rapidly growing national quality improvement and care management organization. We work tirelessly to ensure that over 20 million people receive the right care, at the right time, in the right setting. Our mission is simple yet profound: to improve lives through healthcare quality and clinical expertise. We are people-focused and mission-driven, and we invite you to shape the future of healthcare with us.

When you join arenaflex, you become part of a team that truly cares about our employees. We provide the training and support you need to do the best work of your career. Our culture is built on mutual respect, collaboration, and a shared commitment to making a positive impact in healthcare. We understand that our employees are our greatest asset, and we invest in their growth, well-being, and professional development.

Perks of This Role

• Fully Remote Position: Work from the comfort of your home with flexible scheduling options


• Rotational Shifts: Choose from EST, CT, or PST shifts to fit your lifestyle


• Comprehensive Benefits: Medical, dental, vision, and more – effective the first month following your hire date


• Paid Time Off: Enjoy great work-life balance with generous PTO


• Retirement Savings: 401(k) with match and no vesting period


• Career Advancement: Join a national company with roles all over the US and advance your career


• Meaningful Work: Help vulnerable populations get the healthcare they need

Who We Need

We are seeking a talented Customer Service Representative to provide all customer service support for our Review Team. In this role, you will be responsible for interacting with beneficiaries and providers via our helpline, creating, formatting, and proofreading letters, and maintaining timeliness in all communications. This position requires a great deal of decision-making regarding various types of complex appeals.

The ideal candidate will be someone who thrives in a fast-paced environment, possesses excellent communication skills, and has a genuine passion for helping others. You will be the face of arenaflex to our customers, and your ability to provide exceptional service will be crucial to our mission of improving healthcare quality across the nation.

What You'll Do

As a Customer Service Representative at arenaflex, your responsibilities will include:

• Responsible for typing/merging, proofing for clarity, printing, and mailing correspondence


• Communicate verbally and in writing with external customers to furnish and request review information


• Foster effective working relationships between arenaflex's internal and external customers


• Assist with and participate in Review Team in identifying areas for potential improvement, as noted on case reviews and processes


• Answer the Beneficiary Helpline through the utilization of the hunt group and available light functions


• Determine how to best assist callers either by a service offered by arenaflex or by referring them to an external agency


• Properly enter referrals into the CMS system


• Ensure all letters are sent out in a timely manner with correct components included


• Review all correspondence for grammatical and spacing errors


• Obtain and validate notices and all components of medical records


• Provide intake for all appeals received by arenaflex


• Maintain proficiency in customer service guidelines and standards


• Utilize internal quality control tools to assess individual work and team processes

Qualifications

What You'll Need:

• Education: High school diploma or equivalent required; post-high school business courses helpful


• Medical Knowledge: Medical terminology desired


• Communication Skills: Excellent verbal communication skills with a courteous and patient demeanor


• Customer Orientation: Must be customer-oriented and have the ability to maintain composure under potentially stressful situations


• Writing Skills: Good grammar, punctuation, spelling, hyphenation, and written communication skills


• Interpersonal Skills: Customer-focused, results-oriented, and capable of building and maintaining relationships


• Teamwork: Must be flexible and able to work as a team member while supporting team decisions


• Technical Skills: General knowledge of PC-based computer systems; knowledge of various software packages with the ability to learn additional software packages as needed


• Multitasking: Must be able to multi-task and prioritize assignments effectively


• Organization: Good organizational skills with the ability to work independently

Experience:

• 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

Benefits at arenaflex

Benefits are a key component of your rewards package at arenaflex. We believe in providing comprehensive benefits that are designed to give you and your family additional protection, security, and support for both your career and your life away from work. Our benefits package is comprehensive and fits a variety of needs and situations.

• Comprehensive Health Plans: Medical, dental, and vision coverage for you and your family


• Paid Time Off: Generous PTO policy to support work-life balance


• Retirement Savings: 401(k) plan with company match and no vesting period


• Corporate Wellness: Programs designed to support your physical and mental well-being


• Educational Assistance: Opportunities for continued learning and professional development


• Corporate Discounts: Access to exclusive discounts on products and services


• Career Development: Training and support to help you grow in your career

Work Environment

At arenaflex, we pride ourselves on creating a positive and supportive work environment. As a remote employee, you'll enjoy the flexibility of working from home while still being connected to a supportive team. We believe in maintaining open lines of communication and providing the resources you need to succeed.

Our culture is built on respect, collaboration, and a shared commitment to our mission. We value diversity and inclusion, and we believe that different perspectives make us stronger. When you work at arenaflex, you're not just taking a job – you're joining a community of professionals who are passionate about making a difference in healthcare.

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.

Join Our Team

We know your time is valuable, and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in arenaflex and invite you to apply to future openings that may be of interest.

At arenaflex, you can do meaningful work that makes a real difference for the lives of individuals across the country. Join our team to do work you can feel good about every day! We look forward to potentially welcoming you to the arenaflex family.

~ The arenaflex Talent Acquisition Team

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.