**Experienced Customer Service Representative – Healthcare Remote Support**

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry? Do you thrive in fast-paced environments and enjoy working collaboratively as part of a dynamic team? If so, we invite you to join arenaflex, a leading digital transformation company, as a Customer Service Representative in our Healthcare Remote Support team. **About arenaflex** arenaflex is a digital transformation company that has been helping customers globally, across industries, provide exceptional experiences for their customers for over 35 years. Recently recognized as a Great Place to Work in the US, we pride ourselves on fostering a culture of inclusivity, innovation, and employee growth. Our mission is to make digital processes feel more human for the customers we serve. **Job Summary** We are seeking attentive, goal-oriented individuals to support the expanding needs of one of our largest health insurance company customers. As a Customer Service Representative in our Healthcare Remote Support team, you will be responsible for delivering an exceptional customer experience by responding to incoming calls from both in-network and out-of-network providers to assist with simple and complex inquiries. You will work collaboratively with our team to resolve issues, provide education on available self-service options, and ensure that our customers receive the highest level of service. **Key Responsibilities** * Deliver an exceptional customer experience by responding to incoming calls from both in-network and out-of-network providers to assist with simple and complex inquiries * Assist providers with claims and claims investigations, status inquiries, denial rationale, appeals, research and routing, explanation of payments/explanation of benefits requests, authorizations, and utilization management appeals * Utilize medical benefit grids to interpret and provide accurate information to providers * Verify provider participation and credentialing inquiries * Document and maintain accurate records of customer interactions * Provide education on available self-service options and assist providers with utilizing these tools * Collaborate with our team to resolve issues and ensure that our customers receive the highest level of service **What We Offer** * Competitive pay rate of $16/hour * Medical, dental, and vision benefits * Paid training * Global Flexible Vacation Policy after training * Company-provided equipment * Advancement opportunities – 80% of our frontline leaders have been promoted from within * Monthly rewards and recognition programs * Employee Discounts * EAP & Health and Wellness programs, including a personal trainer dedicated to arenaflex * Weekday schedule, Monday-Friday, 8AM-5PM EST **Qualifications** * High School Diploma or equivalent * 1-2 years of experience working in a high-volume call center environment as a customer service representative * Effective verbal and written communication skills * Strong typing and analytical abilities * 40 Words-Per-Minute typing-speed * Active listening and problem-solving abilities * Soft skills and positive attitude * Multi-tasking skills with a strong attention to detail * Time Management skills * Sufficient Internet speeds while connected to a Remote Desktop Session (10MB Download / 2MB Upload) * Quiet and distraction-free dedicated workspace * Schedule adherence – Be present and on-time **Preferred Qualifications** * 1-2 years of experience in a medical office setting * 1-2 years of experience with healthcare insurance * Medicaid experience highly favored * 1-2 years of experience with billing or coding * 1-2 years of experience with back-end processing **Additional Requirements** * Must be a resident of the United States and authorized to work in the US * Must have a quiet and distraction-free dedicated workspace * Must have sufficient Internet speeds while connected to a Remote Desktop Session (10MB Download / 2MB Upload) **Why Join arenaflex?** At arenaflex, we believe in fostering a culture of inclusivity, innovation, and employee growth. We offer a dynamic and supportive work environment that encourages collaboration, creativity, and continuous learning. Our team members are passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry. **How to Apply** If you are passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry, we invite you to apply for this exciting opportunity. Please visit our website to submit your application and join our team of dedicated professionals. Apply Now! **Equal Employment Opportunity** arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive, respectful, and free from discrimination. Apply for this job