**Experienced Provider Customer Service Call and Chat Representative – Remote in New Mexico**

At arenaflex, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work. **About arenaflex** arenaflex is a leading health care organization that is dedicated to providing innovative solutions to improve the health and well-being of our members. We're committed to creating a culture of excellence, where our employees can grow and develop their skills, while making a meaningful impact on the lives of others. Our mission is to help people live healthier lives and make the health system work better for everyone. **Job Summary** We're seeking an experienced Provider Customer Service Call and Chat Representative to join our team in New Mexico. As a key member of our customer service team, you will be responsible for providing exceptional service to our providers, answering their questions, and resolving their issues in a timely and professional manner. This is a full-time remote position, and you will have the flexibility to work from home while making a difference in the lives of our members. **Primary Responsibilities** As a Provider Customer Service Call and Chat Representative, you will be responsible for: * Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues * Providing service to providers in a multi-channel environment, including call, concurrent chat, as required * Quickly and appropriately triaging contacts from healthcare professionals, such as physician offices, clinics, and billing offices * Seeking to understand and identify the needs of the provider, answering questions, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health * Researching and dissecting complex prior authorization and claim issues, and taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction * Collaborating effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner * Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types * Influencing providers to utilize self-service digital tools, assisting with navigation questions, and selling the benefits of the tool, including aiding in faster resolution **Required Qualifications** To be successful in this role, you will need: * A High School Diploma/GED or equivalent work experience * Must be 18 years of age or older * 1 year of customer service experience with analyzing and solving customer concerns * Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications * Ability to type at the speed of greater than or equal to 35-40 WPM (words per minute) with an accuracy of 90% * Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9:35 AM - 6:05 PM CST from Monday - Friday. It may be necessary, given the business need, to work some occasional overtime, weekends, and/or holidays. **Preferred Qualifications** While not required, the following qualifications are preferred: * Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools * Prior health care experience and knowledge of healthcare terminology **Telecommuting Requirements** As a remote employee, you will be required to: * Reside within the state of New Mexico * Ability to keep all company-sensitive documents secure (if applicable) * Required to have a dedicated work area established that is separated from other living areas and provides information privacy * Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service **Soft Skills** To be successful in this role, you will need to possess the following soft skills: * Ability to multi-task, including the ability to type in multiple conversations * Ability to resolve calls and messages, avoiding escalated complaints * Time management skills * Emotional Intelligence and Empathy * Active Listening and Comprehension * Excellent written communication skills * Demonstrated problem-solving, organization, and interpersonal skills * Demonstrated experience with consistently achieving quality and productivity standards **Benefits and Perks** As an employee of arenaflex, you will enjoy a range of benefits and perks, including: * Competitive salary and bonus structure * Comprehensive health and wellness benefits * Paid time off and holidays * Opportunities for career growth and development * Recognition and rewards for outstanding performance * Access to cutting-edge technology and tools * Collaborative and dynamic work environment **Diversity, Equity, and Inclusion** arenaflex is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. **How to Apply** If you're passionate about making a difference in the lives of others and are looking for a challenging and rewarding career opportunity, we encourage you to apply for this role. Please submit your application, including your resume and cover letter, through our website. **Contact Us** If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us. We look forward to hearing from you!

Join our team and start doing your life's best work!

At arenaflex, we're committed to creating a culture of excellence, where our employees can grow and develop their skills, while making a meaningful impact on the lives of others.

Why work for arenaflex?

• Competitive salary and bonus structure
• Comprehensive health and wellness benefits
• Paid time off and holidays
• Opportunities for career growth and development
• Recognition and rewards for outstanding performance
• Access to cutting-edge technology and tools
• Collaborative and dynamic work environment

What we're looking for:

• Experienced Provider Customer Service Call and Chat Representative
• Strong communication and problem-solving skills
• Ability to work in a fast-paced environment
• Experience with computer and Windows PC applications
• Ability to type at the speed of greater than or equal to 35-40 WPM (words per minute) with an accuracy of 90%

How to apply:

Please submit your application, including your resume and cover letter, through our website.

Contact us:

If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us.

We look forward to hearing from you!

Apply for this job