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Experienced Customer Service Representative - Provider Support - Remote Opportunity in Tennessee

Work from home Full-time role Hiring

At arenaflex, we're simplifying the healthcare 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 healthcare system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

About arenaflex

arenaflex is a leading healthcare organization dedicated to providing innovative solutions that improve the lives of our members. We're committed to creating a healthier future for everyone, and we're looking for talented individuals to join our team. As a remote Customer Service Representative, you'll play a critical role in supporting our providers, helping them navigate our systems and resolve issues efficiently.

Job Summary

We're seeking an experienced Customer Service Representative to join our team in Tennessee. As a remote representative, you'll be responsible for providing exceptional support to our providers, responding to their inquiries, and resolving issues in a timely and professional manner. You'll work in a fast-paced, dynamic environment, using your excellent communication and problem-solving skills to make a real difference in the lives of our members.

Primary Responsibilities

* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues

  • Service Providers in a multi-channel environment, including call, concurrent chat, as required
  • Quickly and appropriately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices
  • Seek to understand and identify the needs of the provider, answering questions and resolving issues, such as benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health
  • Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls/messages, escalations, and provider dissatisfaction
  • Collaborate 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, provider types, and call types
  • Influence 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

* High School Diploma/GED or equivalent work experience

  • Must be 18 years of age or older
  • 1+ years of customer service experience with analyzing and solving customer concerns
  • Ability to type at the speed of greater than or equal to 35-40+ WPM with an accuracy of 90%
  • Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
  • Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9 AM - 5:35 PM CST from Monday - Friday, with occasional overtime, weekends, and/or some holidays based on business need

Preferred Qualifications

* Prior healthcare experience and knowledge of healthcare terminology

  • Experience in a related environment, such as an office, call center, customer service, etc., using phones and computers as the primary job tools

Telecommuting Requirements

* Reside within the state of Tennessee

  • 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 an arenaflex-approved high-speed internet connection or leverage an existing high-speed internet service

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 consistently achieving quality and productivity standards

Benefits and Perks

* 11 weeks of paid training

  • Opportunity to work in a dynamic, fast-paced environment
  • Collaborative team environment
  • Flexible work schedule
  • Opportunities for career growth and development
  • Comprehensive benefits package, including medical, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Paid time off and holidays
  • Access to arenaflex's employee assistance program

Work Environment and Culture

* arenaflex is committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees.

  • Our company culture is built on the principles of collaboration, innovation, and customer-centricity.
  • We're passionate about making a difference in the lives of our members and are committed to delivering exceptional service and support.

Compensation and Benefits

* Competitive salary and benefits package

  • Opportunities for career growth and development
  • Comprehensive benefits package, including medical, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Paid time off and holidays
  • Access to arenaflex's employee assistance program

How to Apply

If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of our members, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and learn more about our company culture and benefits. Apply Now! Apply for this job

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