Experienced Customer Service Representative – Medicare Appeal Process Support

At arenaflex, we're dedicated to empowering better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're a team of passionate individuals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We're looking for a Customer Service Representative to join our growing team. As a key member of our team, you'll play a vital role in supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests. If you're a customer service professional with a passion for delivering exceptional service, we want to hear from you.

About arenaflex

arenaflex is a leading healthcare solutions provider that exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.

Job Summary

The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests adhering to internal policies and procedures and utilizing working knowledge of the organization's services to meet productivity and quality standards.

Key Responsibilities

* Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)

• Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes
• Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
• Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
• Interacts with hospitals, physicians, beneficiaries, or other program recipients
• Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party
• Meets or exceeds standards for call volume and service level per department guidelines
• Initiates files by collecting and entering demographic, provider, and procedure information into the system
• Serves as liaison between the Review Supervisors and external providers
• Maintains logs and documents disposition of incoming and outgoing calls

Requirements

* High School diploma or equivalent

• 2+ year's customer service/telephone experience in a similar call center environment and/or industry
• Must have ability to effectively communicate with team members and external customers
• Must have ability to research and resolve issues related to Medicaid program and service eligibility
• Bilingual (Spanish/English)

Preferred Qualifications/Experience

* Previous experience in the medical office or other medical setting preferred

• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred)
• Knowledge of CPT and HCPCS codes preferred
• PC proficiency to include Microsoft Office Suite
• Experience with Microsoft programs

Benefits

At arenaflex, we're committed to providing a comprehensive benefits package that supports your career and personal growth. Our benefits include:

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more!

Compensation

The pay range for this position is $15.85 - $18.20. Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

Work Environment and Company Culture

arenaflex is a remote-friendly company that offers a flexible work environment. Our team is passionate about delivering exceptional service and making a positive impact on the healthcare industry. We're committed to creating a culture that values diversity, equity, and inclusion.

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping you grow and develop your career. We offer a range of training and development opportunities, including:

• On-the-job training
• Mentorship programs
• Professional development workshops
• Online training courses
• And more!

How to Apply

If you're a customer service professional with a passion for delivering exceptional service, we want to hear from you. Please submit your application through our website at arenaflex.com/careers/. We're an equal opportunity employer and welcome applications from diverse candidates.

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, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Contact Us

If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us. We look forward to hearing from you! Apply Job! Apply for this job