**Experienced Bilingual Customer Service Representative – TennCare Programs Support**

At arenaflex, we're dedicated to providing exceptional customer service to our valued members, and we're seeking a highly motivated and team-oriented Customer Service Representative (Bilingual Spanish) to join our team. As a Customer Service Representative, you will play a vital role in assisting applicants and members who contact our Service Center to apply and recertify for the TennCare Programs. If you're passionate about delivering outstanding customer experiences and have a strong commitment to teamwork, we encourage you to apply for this exciting opportunity. **About arenaflex** arenaflex is a leading provider of innovative health service management solutions, committed to empowering individuals and families to make informed decisions about their healthcare. Our mission is to deliver exceptional customer experiences, foster a culture of collaboration and innovation, and drive positive outcomes for our members. As a valued member of our team, you'll have the opportunity to contribute to our mission and make a meaningful impact in the lives of our members. **Job Summary** As a Customer Service Representative, you will be responsible for providing frontline assistance to applicants and members who contact our Service Center. Your primary responsibilities will include: * Assisting members with reporting changes to their cases, filing appeals of eligibility denials and terminations, and responding to general member inquiries. * Providing exceptional customer service, resolving issues in a timely and professional manner, and maintaining a positive and empathetic attitude. * Collaborating with internal teams to ensure seamless communication and resolution of member issues. * Maintaining accurate and up-to-date records, adhering to HIPAA requirements, and ensuring confidentiality of member information. * Participating in ongoing training and professional development to enhance your skills and knowledge. **Key Responsibilities** * Provide exceptional customer service to applicants and members, responding to inquiries and resolving issues in a timely and professional manner. * Assist members with reporting changes to their cases, filing appeals of eligibility denials and terminations, and responding to general member inquiries. * Collaborate with internal teams to ensure seamless communication and resolution of member issues. * Maintain accurate and up-to-date records, adhering to HIPAA requirements and ensuring confidentiality of member information. * Participate in ongoing training and professional development to enhance your skills and knowledge. * Meet or exceed performance metrics, including response times, resolution rates, and customer satisfaction scores. **Essential Qualifications** * Minimum 2 years' experience in a customer service environment, preferably in a healthcare or social services setting. * Strong PC proficiency, including working with multiple computer systems and software applications. * Associate's Degree in social or behavioral sciences or a related field, or equivalent experience. * Experience with health insurance/Medicaid, preferably in a customer service or eligibility determination role. * Bilingual language skills (Spanish) required, with the ability to communicate effectively with members and internal teams. * Ability to maintain confidentiality and adhere to HIPAA requirements. **Preferred Qualifications** * Experience working in a remote or virtual environment. * Familiarity with TennCare Programs and eligibility determination processes. * Strong analytical and problem-solving skills, with the ability to think critically and resolve complex issues. * Excellent communication and interpersonal skills, with the ability to build strong relationships with internal teams and members. * Experience with customer relationship management (CRM) software and other technology platforms. **Skills and Competencies** * Strong customer service skills, with the ability to provide exceptional service to applicants and members. * Excellent communication and interpersonal skills, with the ability to build strong relationships with internal teams and members. * Strong analytical and problem-solving skills, with the ability to think critically and resolve complex issues. * Ability to work in a fast-paced, dynamic environment, with multiple priorities and deadlines. * Strong PC proficiency, including working with multiple computer systems and software applications. * Ability to maintain confidentiality and adhere to HIPAA requirements. **Career Growth Opportunities and Learning Benefits** As a valued member of our team, you'll have access to ongoing training and professional development opportunities, including: * Ongoing training and coaching to enhance your skills and knowledge. * Opportunities for career advancement and professional growth. * Access to industry-leading technology and software platforms. * Collaborative and supportive work environment, with opportunities to build strong relationships with internal teams and members. **Work Environment and Company Culture** arenaflex is committed to creating a positive and inclusive work environment, where our employees feel valued, supported, and empowered to succeed. Our company culture is built on the following values: * Collaboration and teamwork. * Innovation and creativity. * Customer focus and satisfaction. * Integrity and accountability. * Respect and inclusivity. **Compensation, Perks, and Benefits** As a Customer Service Representative, you'll enjoy a competitive compensation package, including: * $16.00 per hour, with opportunities for overtime and bonuses. * Comprehensive benefits package, including health insurance, dental insurance, life insurance, and vision insurance. * 401(k) matching and tuition reimbursement. * Paid time off and flexible scheduling. * Referral program and employee recognition and rewards. **How to Apply** If you're passionate about delivering exceptional customer experiences and have a strong commitment to teamwork, we encourage you to apply for this exciting opportunity. Please visit our website at [www.arenaflex.com/careers](http://www.arenaflex.com/careers) to learn more about our company culture, benefits, and application process. Apply for this job