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Experienced Customer Service Representative – Healthcare Industry Expert

Work from home Full-time role Hiring

At arenaflex, we are dedicated to providing exceptional home medical equipment products and services that empower patients to live their best lives. As a leading healthcare company, we strive to make a profound impact on the quality of patients' lives, and we're looking for a talented Customer Service Representative to join our team.

About arenaflex

arenaflex is a pioneering healthcare company that offers full-service home medical equipment products and services. Our mission is to provide patients with the support and resources they need to thrive outside of the hospital and in their own homes. With a strong commitment to customer satisfaction and quality care, we're constantly seeking innovative ways to improve our services and make a meaningful difference in the lives of our patients.

Job Summary

We're seeking an experienced Customer Service Representative to join our team in a fast-paced environment. As a Customer Service Representative, you will be responsible for providing exceptional customer service to patients, answering inbound calls, and making outbound calls to ensure successful service delivery. You will work closely with our team to develop and maintain a working knowledge of our products and services, process orders, and verify insurance information. If you're passionate about making a difference in the lives of our patients and have excellent customer service skills, we encourage you to apply for this exciting opportunity.

Key Responsibilities

As a Customer Service Representative at arenaflex, you will be responsible for:

  • Developing and maintaining a working knowledge of our current products and services
  • Answering all calls and emails in a timely manner, in adherence to our goals
  • Documenting all call information according to standard operating procedures
  • Answering questions about products and services, retail stores, general service line information, and other information as necessary based on customer call needs
  • Processing orders, routing calls to appropriate resources, and following up on customer calls where necessary
  • Reviewing all required documentation to ensure accuracy
  • Accurately processing, verifying, and/or submitting documentation and orders
  • Completing insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles
  • Obtaining pre-authorization if required by an insurance carrier and processing physician orders to insurance carriers for approval and authorization when required
  • Navigating through multiple online EMR systems to obtain applicable documentation
  • Entering and reviewing all pertinent information in EMR systems, including authorizations and expiration dates
  • Communicating with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies
  • Verifying insurance carriers are listed in our database system, if not, requesting the new carrier be entered
  • Responsible for contacting patients when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process
  • Meeting quality assurance requirements and other key performance metrics
  • Facilitating resolution on customer complaints and problem-solving
  • Paying attention to detail and having great organizational skills
  • Actively listening to patients and handling stressful situations with compassion and empathy
  • Flexible with actual work and the hours of operation
  • Utilizing company-provided tools to maintain quality, including but not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System), and "How-To" documents

Competency, Skills, and Abilities

To succeed in this role, you will need:

  • Excellent customer service skills
  • Analytical and problem-solving skills with attention to detail
  • Decision-making skills
  • Excellent ability to communicate both verbally and in writing
  • Ability to prioritize and manage multiple tasks
  • Proficient computer skills and knowledge of Microsoft Office
  • Solid ability to learn new technologies and possess the technical aptitude required to understand the flow of data through systems as well as system interaction
  • General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
  • Ability to work well independently and as part of a group
  • Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative, and work effectively on a team

Requirements

To be considered for this role, you must have:

  • High School Diploma or equivalent
  • One (1) year work-related experience in healthcare administrative, financial, or insurance customer services, claims, billing, call center, or management, regardless of industry
  • Senior level requires two (2) years of work-related experience and one (1) year of exact job experience
  • Exact job experience is considered any of the above tasks in a Medicare-certified environment

Work Environment and Company Culture

As a Customer Service Representative at arenaflex, you will be part of a dynamic team that is passionate about delivering exceptional customer service. You will work in a fast-paced environment with a strong focus on quality care and customer satisfaction. Our company culture values teamwork, innovation, and continuous learning, and we offer a range of benefits and perks to support your career growth and well-being.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including:

  • Competitive salary
  • Comprehensive benefits package, including medical, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Paid time off and holidays
  • Opportunities for professional growth and development
  • Recognition and rewards for outstanding performance

How to Apply

If you're passionate about making a difference in the lives of our patients and have the skills and experience required for this role, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to our online application portal.

Equal Opportunity Employer

arenaflex is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.

Apply Now

Don't miss this opportunity to join our team and make a difference in the lives of our patients. Apply now to become a Customer Service Representative at arenaflex. Apply for this job

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