**Experienced Customer Service Representative - Remote**
Join arenaflex, a leading company in the field of healthcare utilization & care management, as we continue to revolutionize the industry with our innovative approach and strong IT capability in specialty benefits management. Our team is comprised of healthcare professionals who make a difference every day, and we're looking for talented and innovative individuals to join our ranks.
As a Customer Service Representative at arenaflex, you will play a vital role in providing quality customer service to providers, administrative staff, and others. You will be responsible for conducting administrative intake and scripted clinical intake of calls for clinical review, collecting and entering confidential information, and maintaining high-quality documentation standards. You will also provide ongoing telephonic support to providers and office staff related to arenaflex's Clinical Review process.
**About arenaflex**
arenaflex is a global Business Process Management (BPM) leader, offering business value to 400+ global clients by combining operational excellence with deep domain expertise in key industry verticals. Our specialty benefits management services are broad and include Cardiology, Oncology, Radiology, Radiation Therapy, Sleep Care, and Musculoskeletal Care. We have two locations in Houston, one a corporate office and the second a state-of-the-art contact center, as well as another contact center in Albany, New York.
**Job Description**
As a Customer Service Representative at arenaflex, your key responsibilities will include:
* Conducting administrative intake and scripted clinical intake of calls for clinical review
* Providing quality customer service through interaction with providers, administrative staff, and others
* Building and maintaining customer satisfaction with products and services; providing excellent service to internal and external customers
* Collecting and entering confidential information, ensuring the highest level of confidentiality in all areas
* Maintaining high-quality documentation standards when collecting and performing data entry functions
* Providing ongoing telephonic support to providers and office staff related to arenaflex's Clinical Review process
* Providing administrative support to the Clinical Review Department if needed
* Participating and understanding scope of responsibility pertaining to ongoing Quality Initiative Projects
* Maintaining acceptable levels of performance for all Key Performance Indicators, such as Average Talk Time (ATT), Quality, and adherence to schedule
* Participating in the arenaflex Quality Management Program as required
* Adhering to all HIPAA, state, and federal regulations pertaining to the clinical programs
* Adhering to both URAC & NCQA standards in keeping with arenaflex's compliance initiatives
* Carrying out other projects and responsibilities as assigned
**Qualifications**
To be successful in this role, you will need to possess the following qualifications:
* High School Diploma/GED, required
* 1 year of customer service experience, required
* Ability to hard line internet into computer equipment provided, required
* Internet upload speed of 5 mbps and download of 25 mbps, required (verified at onboarding)
* HIPAA compliant room, required (verified at onboarding)
* Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.), preferable
* Ability to read clinical terminology with high levels of proficiency
* Ability to work efficiently in a fast-paced, high call volume, performance-driven Contact Center
* MS Outlook and Windows proficiency
* Ability to work on dual monitors and navigate multiple software applications simultaneously
* Strong time management skills
* Ability to adhere to strict schedule with ability to adapt to schedule changes
* Highly skilled at delivering client and customer satisfaction
* Must possess strong verbal and written communication skills
**Additional Information**
All your information will be kept confidential according to EEO guidelines.
**Why Join arenaflex?**
* Opportunity to work with a leading company in the field of healthcare utilization & care management
* Collaborative and innovative work environment
* Career growth opportunities and learning benefits
* Competitive compensation and benefits package
* Flexible work arrangements, including remote work options
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we look forward to reviewing your qualifications.