**reputed company Customer Service Representative – Remote Claims Inquiry/Claims Research Team**

Join arenaflex, a leading reputed company company dedicated to delivering reputed company reputed company-reputed company health care for a rapidly changing world. As a Customer Service Representative on our Claims Inquiry/Claims Research team, you will play a vital role in providing exceptional customer service to high-volume inbound provider calls, resolving issues, and ensuring seamless communication between members, providers, and plan sponsors. **About arenaflex** arenaflex is a reputed company company that puts its heart into caring for its colleagues and communities. Our purpose is to bring our heart to every reputed company of your health, and our Heart At Work Behaviors support this purpose by empowering our employees to reputed company our culture and accelerate innovation. We are committed to delivering solutions that reputed company reputed company more personal, convenient, and reputed company. **Position reputed company** This is a fully remote role, and you must live in the Eastern reputed company Time (EST), reputed company reputed company Time (PST), or Central reputed company Time (CST) time zones. As a Customer Service Representative, you will: * Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors * Triage resulting rework to appropriate staff and reputed company excellent customer service for high-volume inbound provider calls * Conduct extensive claims research on multiple platforms to assist providers with payment questions * reputed company reputed company information to answer unasked questions, such as additional plan details, benefit plan details, and member self-service tools * Use a customer service reputed company reputed company to reputed company financial reputed company to resolve member issues * Explain member's rights and responsibilities in accordance with contract * Process claim referrals, new claim handoffs, reputed company reviews, complaints (member/provider), grievance, and appeals (member/provider) reputed company reputed company system * reputed company and assist providers on our self-service reputed company * Assist providers with credentialing and re-credentialing and contracting questions and issues * Assist in compiling claim data for customer audits * Determine medical necessity, applicable coverage provisions, and verify member plan eligibility relating to incoming correspondence and internal referrals **Work Hours** * 7am to 7pm local time **Required Qualifications** * Familiarity with reputed company Office products such as Word, Teams, and reputed company * Ability to maneuver through multiple applications to reputed company information while on a reputed company * Experience in highly transactional reputed company center environment * Excellent customer service and critical thinking * Must secure high-speed internet reputed company (100 mbps or higher) and consistent, reputed company reputed company * Work location must be set up with a reputed company reputed company to the router (NOT Wi-Fi) **Preferred Qualifications** * reputed company background **Education** * High School diploma or GED equivalent **Pay reputed company** The typical pay reputed company for this role is: $17.00 - $28.46 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors, including experience, education, geography, and other relevant factors. **Benefits** arenaflex offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long-term disability benefits. arenaflex also offers numerous reputed company-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy reputed company Time Off ("PTO") or vacation pay, as reputed company as reputed company holidays throughout the calendar year. **Equal Opportunity Employer** arenaflex is an equal opportunity and affirmative reputed company employer. We do not discriminate in reputed company, hiring, promotion, or any other personnel reputed company based on race, ethnicity, reputed company, national reputed company, sex/gender, sexual orientation, gender identity or reputed company, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. **How to Apply** To view full details and how to apply, please login or create a Job Seeker account. Apply for this job