Experienced Customer Service Representative – Remote Full-Time Opportunity with Comprehensive Benefits and Career Growth

Introduction to arenaflex

arenaflex is a rapidly growing national quality improvement and care management organization dedicated to ensuring that millions of people receive the right care, at the right time, in the right setting. We are a people-focused, mission-driven company that values our employees and provides them with the training and support needed to excel in their careers. Our goal is to improve lives through healthcare quality and clinical expertise, and we believe that our people are the key to achieving this mission.

About the Role

We are seeking an experienced Customer Service Representative to join our team in a fully remote, full-time capacity. As a Customer Service Representative at arenaflex, you will play a vital role in providing exceptional customer service support to our Review Team, interacting with beneficiaries and providers, and maintaining timely and accurate communication. If you are a motivated, energetic, and customer-oriented individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity.

Key Responsibilities

• Provide exceptional customer service support to the Review Team, including interacting with beneficiaries and providers via the helpline, creating, formatting, and proofreading letters, and maintaining timely and accurate communication.
• Communicate verbally and in writing with external customers to furnish and request review information, fostering effective working relationships between arenaflex's internal and external customers.
• Assist with and participate in the Review Team in identifying areas for potential improvement, as noted on case reviews and process.
• Answer the Beneficiary Helpline, determining how to best assist callers either by a service offered by arenaflex or by referring them to an external agency and properly entering referrals into the CMS system.
• Ensure that all letters are sent out in a timely manner with correct components included and reviewed for grammatical and spacing errors.
• Obtain and validate notices and all components of medical records, providing intake for all appeals received by arenaflex.
• Utilize internal quality control tools to assess individual work and team processes, ensuring that customer service guidelines and standards are met.

Essential Qualifications

To be successful in this role, you will need:

• A high school diploma or equivalent, with post-high school business courses being helpful.
• Medical terminology is desired, but not required.
• Excellent verbal communication skills, a courteous and patient demeanor, and the ability to maintain composure under potentially stressful situations.
• Good grammar, punctuation, spelling, hyphenation, and written communication 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 is desirable, with the ability to learn additional software packages as needed.
• Must be able to multi-task, prioritize assignments, and work independently with good organizational skills.

Preferred Qualifications

While not required, the following qualifications are preferred:

• 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 is recommended, with previous data entry or other clerical experience being a plus.

What We Offer

At arenaflex, we offer a comprehensive rewards package that includes:

• Full benefits, including medical, dental, vision, and more, effective the first month following your hire date.
• Paid time off for a great work-life balance.
• 401k with match and no vesting period.
• A fully remote work arrangement, with rotational shifts available for EST, CT, or PST.
• Opportunities for career growth and advancement, with a focus on professional development and continuous learning.

Our Culture and Values

At arenaflex, we are committed to creating a positive and inclusive work environment that values diversity, equity, and inclusion. We believe that our employees are our greatest asset, and we strive to provide a workplace that is supportive, collaborative, and empowering. Our core values include:

• People-focused: We prioritize the well-being and success of our employees, customers, and communities.
• Mission-driven: We are dedicated to improving lives through healthcare quality and clinical expertise.
• Customer-centric: We are committed to delivering exceptional customer service and support.

How to Apply

If you are a motivated and customer-oriented individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to be considered for this role.

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.

Conclusion

Thank you for considering this exciting opportunity to join the arenaflex team as a Customer Service Representative. We are confident that our comprehensive rewards package, inclusive culture, and commitment to making a difference in the lives of others make us an employer of choice. We look forward to receiving your application and exploring how you can contribute to our mission-driven organization.