Experienced Concierge Customer Service Representative – Remote Healthcare Support

At arenaflex, we're on a mission to revolutionize the way healthcare services are delivered, and we're looking for a talented and compassionate Concierge Customer Service Representative to join our team. As a key member of our remote healthcare support team, you'll play a critical role in providing exceptional customer service to our members and providers, ensuring their needs are met with empathy, understanding, and professionalism.

About arenaflex

arenaflex is a leading provider of innovative healthcare solutions, dedicated to mitigating risk and improving outcomes for our clients and their plan members. With over 35 years of experience, we've established a reputation for excellence, and we're committed to continuing our legacy of innovation and collaboration. Our team is passionate about making a difference in the lives of our clients and their members, and we're excited to welcome like-minded individuals to our community.

Job Summary

As a Concierge Customer Service Representative, you'll be responsible for providing exceptional customer service to our members and providers, responding to inquiries, resolving issues, and ensuring seamless communication. You'll be the face of arenaflex, representing our brand and values, and building strong relationships with our internal and external stakeholders. If you're a customer service professional with a passion for healthcare, we want to hear from you!

Key Responsibilities

* Respond to telephone and email inquiries from members and providers, providing accurate and timely information to resolve their concerns

• Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
• Assist members with benefits and healthcare questions, ensuring they receive the support they need
• Document all calls received in our system-based call log, maintaining accurate and up-to-date records
• Collaborate with internal teams to resolve complex issues and ensure seamless communication
• Participate in ongoing training and professional development to stay up-to-date on industry trends and best practices

Requirements and Qualifications

* High School Diploma or equivalent required; 2 years of college or higher education preferred

• 1 year of customer service or call center experience in a healthcare-related role
• Medical intake or Third-Party Administrator (TPA) experience a plus
• Bilingual English-Spanish a plus
• Strong customer relations, interpersonal, and communication skills
• Ability to handle confidential and sensitive information with discretion and professionalism
• Proficient with Microsoft applications and strong computer skills
• Excellent data entry and typing skills
• Knowledge of provider organizations and networks
• Knowledge and understanding of CMS Medicare reimbursement rates
• Ability to effectively negotiate rate structures
• Independent judgment in decision making and problem solving
• Ability to multitask and anticipate potential needs/problems
• Medical Terminology
• Strong attention to detail
• Understanding of Self-Funded health benefits a plus
• Claim processing skills a plus
• Insurance verification or precertification a plus

Work Environment and Physical Demands

This position is in a typical office/home office environment, requiring prolonged sitting in front of a computer. You'll need hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including standard computer and phone equipment.

Compensation and Benefits

* Competitive salary range: $16.00 to $18.00 per hour

• Comprehensive benefits package, including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs
• Opportunities for professional growth and development, including ongoing training and education

Why Join arenaflex?

* Be part of a dynamic and innovative team, dedicated to making a difference in the lives of our clients and their members

• Enjoy a comprehensive benefits package, including competitive compensation and opportunities for growth and development
• Collaborate with passionate and driven individuals who share your commitment to excellence and customer service
• Contribute to a culture of innovation, collaboration, and continuous improvement

How to Apply

If you're a motivated and customer-focused individual with a passion for healthcare, we want to hear from you! Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to welcome you to our team!

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer, committed to diversity, equity, and inclusion. We welcome applications from qualified candidates of all backgrounds, and we're dedicated to creating a workplace that's inclusive and respectful of all individuals. Apply for this job