Experienced Customer Service Representative – Remote Opportunity to Empower Better Health Outcomes

At arenaflex, we're revolutionizing the healthcare industry by harnessing the power of technology, services, and clinical expertise to deliver maximum value and impact. As a Customer Service Representative, you'll play a vital role in our mission to innovate health solutions that genuinely improve people's lives across the country. About arenaflex arenaflex is a dynamic and caring organization that brings together experienced leaders, clinicians, pioneering technologists, and industry professionals to redefine expectations for the healthcare industry. Our team is passionate about being a vital partner for health solutions in the public sector, and we're committed to empowering better health outcomes through our people, technology, and services. Join Our Team We're seeking an experienced Customer Service Representative to join our growing team of passionate individuals dedicated to making a meaningful difference in the lives of our customers. As a Customer Service Representative, you'll have the opportunity to take ownership of your work daily, actively engage in problem-solving, and accelerate better outcomes. 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 in accordance with internal policies and procedures. This role requires a working knowledge of arenaflex's services and the ability 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 * Ability to effectively communicate with team members and external customers * 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 our employees with a comprehensive rewards package that includes: * 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, with an applicant's position placement in the pay range depending on various considerations, such as years of applicable experience and skill level. Why Join arenaflex? We're a company that cares about our employees and gives you the tools and encouragement you need to achieve the finest work of your career. You'll have meaningful work that genuinely improves people's lives across the country, and you'll be part of a team that's passionate about making a difference. How to Apply If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of our customers, we encourage you to apply for this exciting opportunity. Please visit our website at arenaflex.com/careers/ to submit your application. 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. EOE AA M/F/Vet/Disability We're an Equal Opportunity Employer and welcome applications from diverse candidates. We're committed to creating an inclusive and supportive work environment that values diversity, equity, and inclusion. Thank You! We appreciate your interest in arenaflex and invite you to apply to future openings that may be of interest. Best of luck in your search! --- HTML Output ```html

Experienced Customer Service Representative – Remote Opportunity to Empower Better Health Outcomes

At arenaflex, we're revolutionizing the healthcare industry by harnessing the power of technology, services, and clinical expertise to deliver maximum value and impact. As a Customer Service Representative, you'll play a vital role in our mission to innovate health solutions that genuinely improve people's lives across the country.

About arenaflex

arenaflex is a dynamic and caring organization that brings together experienced leaders, clinicians, pioneering technologists, and industry professionals to redefine expectations for the healthcare industry. Our team is passionate about being a vital partner for health solutions in the public sector, and we're committed to empowering better health outcomes through our people, technology, and services.

Join Our Team

We're seeking an experienced Customer Service Representative to join our growing team of passionate individuals dedicated to making a meaningful difference in the lives of our customers. As a Customer Service Representative, you'll have the opportunity to take ownership of your work daily, actively engage in problem-solving, and accelerate better outcomes.

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 in accordance with internal policies and procedures. This role requires a working knowledge of arenaflex's services and the ability 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
• Ability to effectively communicate with team members and external customers
• 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 our employees with a comprehensive rewards package that includes:

• 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, with an applicant's position placement in the pay range depending on various considerations, such as years of applicable experience and skill level.

Why Join arenaflex?

We're a company that cares about our employees and gives you the tools and encouragement you need to achieve the finest work of your career. You'll have meaningful work that genuinely improves people's lives across the country, and you'll be part of a team that's passionate about making a difference.

How to Apply

If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of our customers, we encourage you to apply for this exciting opportunity. Please visit our website at arenaflex.com/careers/ to submit your application.

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.

EOE AA M/F/Vet/Disability

We're an Equal Opportunity Employer and welcome applications from diverse candidates. We're committed to creating an inclusive and supportive work environment that values diversity, equity, and inclusion.

Thank You!

We appreciate your interest in arenaflex and invite you to apply to future openings that may be of interest. Best of luck in your search!

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