Customer Service Representative - Remote Healthcare Quality Improvement - Full Benefits and Growth Opportunities
Join Our Mission-Driven Team and Make a Difference in Healthcare
At Arsenault, we're dedicated to improving lives through healthcare quality and clinical expertise. As 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 centered around people, and we're looking for compassionate and skilled Customer Service Representatives to join our team.A Career with Purpose and Meaning
As a Customer Service Representative, you'll play a vital role in providing exceptional support to beneficiaries and providers. You'll interact with customers via our helpline, create and proofread letters, and maintain timeliness in a fast-paced environment. This position requires strong decision-making skills, particularly when handling complex appeals. By joining our team, you'll have the opportunity to make a real difference in the lives of individuals across the country.What You'll Do
As a Customer Service Representative, your key responsibilities will include:- Interacting with beneficiaries and providers via our helpline, responding to their inquiries, and resolving issues in a timely and professional manner.
- Creating, formatting, and proofreading letters to ensure accuracy and clarity.
- Managing and maintaining records, including intake for all appeals received by Arsenault.
- Fostering effective working relationships with internal and external customers, including collaborating with the Review Team to identify areas for potential improvement.
- Utilizing internal quality control tools to assess individual work and team processes.
- Providing intake for all appeals received by Arsenault, ensuring accurate and timely processing.
- Answering the Beneficiary Helpline, determining how to best assist callers, and properly entering referrals into the CMS system.
- Ensuring all letters sent out are timely, accurate, and reviewed for grammatical and spacing errors.
- Validating notices and all components of medical records.
Requirements and Qualifications
To succeed in this role, you'll need:Essential Qualifications:
- High school diploma or equivalent required.
- Post-high school business courses helpful.
- Medical terminology desired.
- Excellent verbal communication skills, with a courteous and patient demeanor.
- Strong written communication skills, including good grammar, punctuation, spelling, and hyphenation.
- Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers.
- General knowledge of a PC-based computer system, with the ability to learn additional software packages as needed.
- Ability to multi-task, prioritize assignments, and work independently.
Preferred Qualifications:
- 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 a plus.
What We Offer
At Arsenault, we're committed to providing our employees with a comprehensive benefits package and a supportive work environment. Here are just a few of the perks and benefits you'll enjoy:- Fully remote position with flexible scheduling, including rotational shifts available for EST, CT, or PST.
- Full benefits package, including medical, dental, vision, and more, effective the first month following your hire date.
- Paid time off for a great work-life balance.
- 401(k) with match and no vesting period.
- Opportunities for career growth and professional development.
- Comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, and more.
Our Culture and Values
At Arsenault, we're people-focused and mission-driven. We care deeply about our employees and provide the training and support needed to do the best work of your career. Our culture is built on a foundation of respect, empathy, and collaboration, and we're committed to fostering a work environment that's inclusive, supportive, and rewarding.Why Choose Arsenault?
By joining our team, you'll have the opportunity to:- Make a real difference in the lives of individuals across the country.
- Work with a rapidly growing national quality improvement and care management organization.
- Enjoy a comprehensive benefits package and supportive work environment.
- Grow and develop your career with opportunities for professional development.
- Be part of a team that's dedicated to improving lives through healthcare quality and clinical expertise.