Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits

Are you an experienced customer service professional looking for a new challenge where you can make a meaningful impact? Do you value customer service and helping your community? Are you motivated, energetic, and excited to become part of the arenaflex team? If so, you might be our next new team member!

About arenaflex

arenaflex is a rapidly growing national quality improvement and care management organization dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. We are a people-focused, mission-driven organization that cares deeply about our employees and provides the training and support to help them excel in their careers. Our comprehensive benefits package is designed to provide you and your family with additional protection, security, and support for both your career and your life away from work.

Perks of this Role

* Fully remote position, where you can work from home with 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
• Opportunity to advance your career and build upon your experience in a dynamic and growing organization

Who We Need

We are seeking an experienced Customer Service Representative to provide all customer service support for the Review Team, including but not limited to:

• Interacting with beneficiaries and providers via the helpline
• Creation, formatting, and proofreading of letters
• Maintaining timeliness and ensuring that all letters are sent out in a timely manner with correct components included and reviewed for grammatical and spacing errors
• Getting and validating notices and all components of medical records
• Providing intake for all appeals received by arenaflex
• Utilizing internal quality control tools to assess individual work and team processes

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
• Answer the Beneficiary Helpline through the utilization of the hunt group and available light functions
• Determine 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

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
• 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 of 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

What We Offer

* Comprehensive benefits package, including medical, dental, vision, and 401k with match

• Paid time off for great work-life balance
• Opportunity to advance your career and build upon your experience in a dynamic and growing organization
• Collaborative and supportive work environment
• Professional development opportunities to help you grow and succeed in your career

Mental and Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

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.

How to Apply

If you are a motivated and customer-focused individual looking for a new challenge, please apply to this position by clicking on the link below: Apply Job! We look forward to hearing from you and exploring how you can contribute to our mission to improve lives through healthcare quality and clinical expertise. Apply for this job