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**Experienced Customer Service Representative – Medicaid and Medicare Support**

Remote, USA Full-time Posted 2026-04-22
At arenaflex, we're dedicated to delivering exceptional healthcare services that put our heart into every moment of your health. As a valued member of our team, you'll play a vital role in transforming our culture and accelerating our ability to innovate and deliver solutions that make healthcare more personal, convenient, and affordable. **About arenaflex** arenaflex is a leading healthcare company that's committed to providing enhanced human-centric healthcare for a rapidly changing world. Our purpose is to bring our heart to every moment of your health, and our Heart At Work Behaviors support this purpose by empowering our colleagues to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions. **Job Summary** We're seeking an experienced Customer Service Representative to join our team in Richmond, VA. As a Member Service Representative, you'll provide telephone assistance to Aetna Medicaid members and providers, answering an array of inquiries such as eligibility, provider changes, and requests for ID cards. You'll be responsible for delivering an excellent experience to our callers each and every time, and strong customer skills are required to be successful in this role. **Responsibilities** * Answer in-coming member and provider calls and respond to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc. * Utilize high-speed internet connectivity with secure service via ethernet cable (Wi-Fi is not permitted) * Provide excellent customer service and meet performance standards, attendance requirements, and call quality goals * Work from home and be self-sufficient, with the ability to commute to the office in Richmond, VA when unable to work from home due to prolonged technical problems * Participate in training and development programs to enhance your skills and knowledge **Training Schedule** * First 6 weeks: 8:30 AM - 5:00 PM EST, Monday through Friday * Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday **Required Qualifications** * High school diploma or equivalent * Ability to communicate effectively with members and providers orally and in written form * Ability to meet performance standards, attendance requirements, and call quality goals * Ability to work from home and be self-sufficient * Must commute to the office in Richmond, VA when unable to work from home due to prolonged technical problems **Preferred Qualifications** * Experience with working remotely in a call center setting * Experience with Medicaid and Medicare * Strong customer service skills and ability to meet performance standards **Skills and Competencies** * Excellent communication and interpersonal skills * Ability to work in a fast-paced environment and meet performance standards * Strong problem-solving and critical thinking skills * Ability to work independently and as part of a team * Proficiency in using technology and software applications **Career Growth Opportunities and Learning Benefits** * arenaflex offers a range of training and development programs to enhance your skills and knowledge * Opportunities for career growth and advancement within the company * Collaborative and supportive work environment * Recognition and rewards for outstanding performance **Work Environment and Company Culture** * arenaflex is committed to creating a diverse and inclusive work environment * We value our colleagues and strive to provide a supportive and collaborative work environment * arenaflex is committed to providing equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions **Compensation, Perks, and Benefits** * The typical pay range for this role is $17.00 - $27.90 per hour * arenaflex offers a comprehensive benefits package, including medical, dental, and vision benefits * Eligible employees may enroll in the company's 401(k) retirement savings plan and Employee Stock Purchase Plan * arenaflex provides a fully-paid term life insurance plan to eligible employees, as well as short-term and long-term disability benefits * We offer numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners * arenaflex provides paid time off (PTO) or vacation pay, as well as paid holidays throughout the calendar year **COVID-19 Vaccination Policy** * arenaflex requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated * You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment **How to Apply** If you're passionate about delivering exceptional customer service and making a difference in the lives of our members and providers, we encourage you to apply for this exciting opportunity. Please visit our website at [insert website URL] to learn more about arenaflex and our job openings. Apply for this job    

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