Experienced Remote Healthcare Customer Service Advocate - arenaflex

Join arenaflex, a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide, as a Remote Healthcare Customer Service Advocate in South Carolina. In this role, you will play a crucial part in delivering exceptional customer service to our clients and their members by ensuring their satisfaction on calls. As a key contributor, you will be responsible for accurately and efficiently reading and relaying information to members, providing a solid understanding of the health care claims, benefits, and policy process flows, and knowledgeable in healthcare terminology.

About arenaflex

arenaflex is a mission-critical partner to healthcare plans nationwide, providing claims processing services, including digital transformation, claims adjudication, and member and provider engagement services. With a strong commitment to excellence, we strive to enhance engagement and satisfaction with plans' members and providers. Our innovative workflow technology platform, JetStreamTM, helps with traceability, governance, and automation of claims operations for our clients.

What We Offer

As a Remote Healthcare Customer Service Advocate, you will enjoy a range of benefits, including:

• Paid training period
• Medical, Dental, Life, Vision, HSA, 401K
• Paid Holidays
• PTO
• Equipment provided
• Opportunity to work from home with a quiet dedicated work area
• High-speed internet of 25MBPS download and 5MBPS upload
• Ability to directly hardwire equipment to your modem

Key Responsibilities

As a Remote Healthcare Customer Service Advocate, your key responsibilities will include:

• Member and Provider Support: Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.
• Application Processing: Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
• Data Entry and Management: Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
• Multitasking: Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
• Quality Assurance: Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
• Collaboration: Coordinate with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
• Process Improvement: Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.

Job Description

As a Remote Healthcare Customer Service Advocate, you will be responsible for handling customer service inbound calls, providing information on the status of authorization requests, and maintaining a high level of professionalism and customer service in all interactions. You will also be responsible for addressing and managing re-direct requests, handling requests to re-fax authorization documents as needed, and accurately documenting call interactions and outcomes in the appropriate systems.

Lines of Business

You will be working with various lines of business, including:

• General Membership
• Health Plan Providers
• ETC.

Documentation and Compliance

You will be responsible for ensuring compliance with all relevant regulations and guidelines, accurately documenting call interactions and outcomes in the appropriate systems, and maintaining high standards of accuracy and consistency.

Qualifications

To be successful in this role, you will need:

• Educational Background: High School Diploma or General Education Degree (GED) required
• Technical Skills:

+ At least 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field + Healthcare Medical Terminology + Proficiency in Microsoft Office Suite (Word, Excel, Outlook) + Experience with CRM systems or membership databases + Strong typing and data entry skills, with the ability to manage multiple systems simultaneously + Must be able to clear a background check

• Other Qualifications:

+ Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency + Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment + Communication Skills: Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members + Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively + Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with arenaflex's commitment to excellence

Work from Home Requirements

To work from home, you will need:

• High-speed internet of 25MBPS download and 5MBPS upload
• Ability to directly hardwire equipment to your modem
• Quiet dedicated work area

Equal Employment Opportunity

arenaflex provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please visit our website to learn more about arenaflex and our commitment to excellence. Apply for this job