Experienced Customer Service Representative - Healthcare Appeals Support (Remote - Full Benefits)

Are you an experienced customer service professional seeking a new challenge where you can make a meaningful impact in the lives of individuals across the country? Do you value customer service and helping your community? Are you motivated, energetic, and excited to become part of a rapidly growing national quality improvement and care management organization? If so, you might be our next new team member!

Perks of This Role

* Fully remote position, where you can work from home. Rotational shifts available for EST, CT, or PST.

• Full benefits (medical, dental, vision, etc.) effective the first month following your hire date!
• Paid time off for great work-life balance
• 401k with match with no vesting period
• Join our team to build upon your experience and to advance your career, while doing meaningful work that will help vulnerable populations get the healthcare they need.

About arenaflex

arenaflex is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future of healthcare with us. We are mission-driven to improve lives through healthcare quality and clinical expertise.

Why Join arenaflex?

At arenaflex, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career. Benefits are a key component of your rewards package at arenaflex. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Key Responsibilities

* Responsible for typing/merging, proofing for clarity, printing, and mailing correspondence.

• Communicate verbally and in writing with external customers to furnish and request review information.
• Foster effective working relationships between arenaflex's internal and external customers.
• Assist with and participate in Review Team in identifying areas for potential improvement, as noted on case reviews and process.
• Answers the Beneficiary Helpline through the utilization of the hunt group and available light functions. Determines how to best assist caller either by a service offered by arenaflex or by referring them to an external agency and properly enter referral into CMS system.
• All letters sent out in timely manner with correct components included and reviewed for grammatical and spacing errors.
• Get and validate notices and all components of medical records.
• Provide intake for all appeals received by arenaflex.
• Proficient in customer service guidelines and standards.
• Utilize internal quality control tools to assess individual work and team processes.

Qualifications

* High school diploma or equivalent.

• Post-high school business courses helpful.
• Medical terminology desired.
• Excellent verbal communication skills, courteous and patient demeanor, must be customer-oriented and have the ability to maintain composure under potentially stressful situations.
• Good grammar, punctuation, spelling, hyphenation, and written communications skills.
• Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers. Must be flexible and able to work as a team member and support team decisions.
• General knowledge of a PC-based computer system desirable. Knowledge of various software packages with ability to learn additional software packages as needed.
• Must be able to multi-task and to prioritize assignments.
• Must have good organizational skills and be able to work independently.

Experience

* Two to three years clerical experience including word processing, various filing systems, and telephone customer service responsibilities.

• Prior work in a healthcare setting or medical terminology recommended. Previous data entry or other clerical experience is a plus.

Career Growth Opportunities and Learning Benefits

At arenaflex, we believe in investing in our employees' growth and development. We offer a range of training and development opportunities to help you advance your career and achieve your goals. Our team is passionate about delivering exceptional customer service, and we're committed to providing the support and resources you need to succeed.

Work Environment and Company Culture Highlights

arenaflex is a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction. Our team is passionate about making a difference in the lives of individuals across the country, and we're committed to creating a work environment that's inclusive, supportive, and empowering. We believe in recognizing and rewarding our employees' hard work and contributions, and we offer a range of benefits and perks to support your well-being and success.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including a salary range of $45,000 - $60,000 per year, depending on experience. We also offer a range of benefits and perks, including:

• Comprehensive health plans
• Paid time off for great work-life balance
• 401k with match with no vesting period
• Corporate wellness programs
• Educational assistance
• Corporate discounts
• And more!

How to Apply

If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We can't wait to hear from you!

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Apply for this job