Customer Service Representative - Remote Healthcare Quality Improvement - Full Benefits & Career Growth Opportunities

Join Our Mission-Driven Team and Make a Difference in Healthcare

Are you a passionate and experienced Customer Service Representative looking for a new challenge? Do you value delivering exceptional customer service and helping your community? Are you motivated, energetic, and excited to become part of a team that makes a meaningful impact in the lives of individuals across the country? If so, we invite you to join our team at Arsenault, a rapidly growing national quality improvement and care management organization.

About Us

At Arsenault, we are dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. We are a people-focused, mission-driven organization that cares deeply about our employees and provides the training and support to do the best work of your career. Our team is committed to improving lives through healthcare quality and clinical expertise, and we are looking for a Customer Service Representative to join our Review Team.

Perks of This Role

• Fully remote position: Work from home and enjoy a flexible schedule with rotational shifts available for EST, CT, or PST.
• Full benefits: Medical, dental, vision, and more, effective the first month following your hire date.
• Paid time off: Enjoy a great work-life balance with paid time off.
• 401k with match: No vesting period, so you can start building your retirement savings right away.
• Career growth opportunities: Join a national company with roles all over the US and advance your career while doing meaningful work.

Job Summary

As a Customer Service Representative, you will provide exceptional customer service support for our Review Team, interacting with beneficiaries and providers via our helpline, creating and formatting letters, and maintaining timeliness. This position requires strong decision-making skills, particularly when handling complex appeals. If you have a passion for customer service, excellent communication skills, and the ability to work independently, we encourage you to apply.

Key Responsibilities

• Interact with beneficiaries and providers via our helpline, responding to inquiries and resolving issues in a timely and professional manner.
• Create, format, and proofread letters, ensuring accuracy and clarity.
• Maintain timeliness and productivity, meeting or exceeding performance goals.
• Foster effective working relationships with internal and external customers, including beneficiaries, providers, and team members.
• Assist with and participate in Review Team activities, identifying areas for potential improvement and suggesting process enhancements.
• Utilize internal quality control tools to assess individual work and team processes, making recommendations for improvement.
• Provide intake for all appeals received by Arsenault, ensuring accurate and timely processing.
• Proficiently use customer service guidelines and standards, applying them to resolve customer issues.

Essential Qualifications

• High school diploma or equivalent required; post-high school business courses helpful.
• Medical terminology desired, but not required.
• Excellent verbal communication skills, with a courteous and patient demeanor.
• 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 PC-based computer systems and software packages, with the ability to learn additional software packages as needed.
• Ability to multi-task and prioritize assignments, with good organizational skills and the ability to 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 experience with medical terminology.
• Previous data entry or other clerical experience.

What We Offer

At Arsenault, we offer a comprehensive benefits package, including:

• Medical, dental, and vision insurance.
• Paid time off.
• 401k with match and no vesting period.
• Corporate wellness programs.
• Educational assistance.
• Corporate discounts.

Work Environment and Culture

Our company culture is built on a foundation of respect, empathy, and collaboration. We value our employees and strive to create a work environment that is supportive, inclusive, and rewarding. As a remote employee, you will have the flexibility to work from home and enjoy a better work-life balance.

Career Growth Opportunities

At Arsenault, we are committed to helping our employees grow and develop their careers. We offer training and support to help you achieve your goals, and we encourage our employees to take on new challenges and pursue opportunities for advancement.

How to Apply

If you are a motivated and experienced Customer Service Representative looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, and we will be in touch with you soon.

Equal Opportunity Employer

Arsenault 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.

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.
• Occasionally travel within the state.

We thank you in advance for your interest in this position and look forward to receiving your application.