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**Experienced Medical Claims Customer Service Representative - Remote | WFH Opportunity at arenaflex**

Remote, USA Full-time Posted 2025-11-24
At arenaflex, we're revolutionizing the healthcare industry by harnessing the power of data-driven insights, AI, and predictive analytics to make high-quality healthcare more accessible and affordable. Our mission is to empower healthcare providers to deliver exceptional care, prioritize patient outcomes, and enhance the overall patient experience. As a key player in our team, you'll be part of a dynamic and collaborative environment that values empathy, innovation, and operational excellence. **Your Role in arenaflex's Mission** As a Customer Service Representative, you'll play a vital role in ensuring timely and effective responses to client and member calls. Your primary responsibilities will include: - Handling client and member calls with accuracy and follow-through, providing courteous and professional service while addressing inquiries related to claims payment, status, and coverage information. - Delivering outstanding customer service, interpreting client health plan protocols, and assisting with claims processing tasks, including reports and workflow queues. - Documenting calls accurately and maintaining high professionalism, returning incoming calls, and performing additional duties as assigned. **What You'll Need to Succeed** To excel in this role, you'll require: - 1 to 3 years of customer service experience in healthcare, with a strong understanding of healthcare claims processing and experience in a high-volume call center. - A background in healthcare or health insurance, with familiarity with BCBS HMOI or other insurance plans being a plus. - Proficiency in Microsoft Office and multiple systems, with excellent verbal and written communication skills. - Availability for an 8-hour shift between 8 AM and 6 PM Central Time. **What We'd Love to See** - Experience with HMO Managed Care and Medicare Advantage, which will enable you to provide more comprehensive support to our clients and members. - A passion for delivering exceptional customer service, with a focus on empathy, active listening, and problem-solving. **Benefits of Working at arenaflex** At arenaflex, we're committed to supporting your personal and professional growth, while also providing a comprehensive benefits package that includes: - **Work from Home**: Enjoy the flexibility of a fully remote position, reducing commute time and allowing you to focus on your professional and personal goals. - **Health Coverage**: Comprehensive Medical, Dental, and Vision plans to keep you and your family well-covered. - **Retirement Planning**: Our 401(k) plan includes a 3% employer match on your 6% contribution. - **Peace of Mind**: Life and Disability insurance, with optional additional coverage for you and your loved ones. - **Support During Tough Times**: Access our Employee Assistance Program (EAP) for extra support. - **Flexible Time Off**: Tailored PTO to help you achieve work-life balance and meet personal goals. - **Paid Parental Leave**: Time off to support you when welcoming a new family member. - **Professional Growth**: Resources and opportunities dedicated to your career development. **Compensation and Equal Opportunity Employment** The base pay range for this role is between $18.45 and $20.50 per hour, paid bi-weekly. Final pay rates are based on factors such as skill set, relevant experience, education, location, and certifications. arenaflex is an equal opportunity employer and makes employment decisions without regard to race, religion, color, age, sex, sexual orientation, gender identity, national origin, citizenship, marital status, familial status, disability, military or veteran status, pregnancy, or any other protected status. **Security Policies and Employment Type** This role involves adhering to all security policies and procedures to protect all PHI and intellectual properties. Specific responsibilities for security-related roles will be defined by the hiring manager. This is a full-time employment opportunity, with a flexible work-from-home arrangement. **Ready to Join arenaflex's Team?** If you're passionate about delivering exceptional customer service, have a strong background in healthcare, and are looking for a dynamic and supportive work environment, we encourage you to apply for this exciting opportunity. Join arenaflex's team and be part of a mission that's revolutionizing the healthcare industry. Apply now and take the first step towards a rewarding career with arenaflex! ```html

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