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Experienced Customer Service Representative – Medicaid Member Support

Work from home Full-time role Hiring

At arenaflex, we're dedicated to delivering exceptional healthcare services that make a meaningful difference in people's lives. Our purpose is to bring our heart to every moment of your health, and we're looking for talented individuals like you to join our team. As a Customer Service Representative, you'll play a vital role in providing top-notch support to Aetna Medicaid members and providers, helping them navigate the complexities of healthcare with ease and confidence.

About arenaflex

arenaflex is a leading healthcare company that's passionate about transforming the way healthcare is delivered. With a commitment to innovation, convenience, and affordability, we're dedicated to making healthcare more personal, convenient, and accessible to everyone. Our Heart At Work Behaviors guide our actions and decisions, empowering our employees to make a positive impact on our culture and the communities we serve.

Job Summary

We're seeking an experienced Customer Service Representative to join our team in Charleston, WV. As a key member of our support team, you'll be responsible for providing exceptional telephone assistance to Aetna Medicaid members and providers, addressing a wide range of inquiries and concerns. If you're a customer-focused individual with excellent communication skills and a passion for delivering outstanding service, we want to hear from you!

Responsibilities

As a Customer Service Representative, you'll be responsible for:

  • Answering incoming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.
  • Providing accurate and timely information to members and providers, ensuring a positive experience with every interaction
  • Utilizing high-speed internet connectivity with secure service via ethernet cable to access our systems and resources
  • Collaborating with internal teams to resolve complex issues and escalate concerns as needed
  • Meeting performance standards, attendance requirements, and call quality goals to ensure exceptional service delivery

Requirements

To be successful in this role, you'll need:

  • High School Diploma or equivalent GED
  • Ability to communicate effectively with members and providers orally and in written form
  • Strong customer service skills, with a focus on empathy, active listening, and problem-solving
  • Ability to work from home and prove self-sufficiency, with occasional commutes to the office in Charleston, WV
  • Reliable high-speed internet connectivity with secure service via ethernet cable
  • Ability to meet performance standards, attendance requirements, and call quality goals

Preferred Qualifications

* Experience working remotely in a call center setting

  • Experience with Medicaid and Medicare
  • Strong knowledge of healthcare policies and procedures
  • Excellent problem-solving and critical thinking skills
  • Ability to work in a fast-paced environment with multiple priorities and deadlines

Benefits and Perks

As an arenaflex employee, you'll enjoy a comprehensive benefits package, including:

  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan with company match
  • Employee Stock Purchase Plan
  • Fully-paid term life insurance plan
  • Short-term and long-term disability benefits
  • Well-being programs, education assistance, and free development courses
  • CVS store discount and discount programs with participating partners
  • Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year

What We Offer

At arenaflex, we're committed to creating a work environment that's inclusive, supportive, and empowering. We believe in:

  • Fostering a culture of innovation, creativity, and continuous learning
  • Encouraging open communication, feedback, and collaboration
  • Providing opportunities for growth, development, and career advancement
  • Recognizing and rewarding outstanding performance and contributions
  • Supporting work-life balance and employee well-being

How to Apply

If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we want to hear from you! Please submit your application, including your resume and a cover letter, by [Application Deadline: 09/06/2024]. We look forward to reviewing your application and discussing this opportunity further.

Equal Employment Opportunity

arenaflex is an equal opportunity employer, committed to diversity, equity, and inclusion. We welcome applications from qualified candidates with arrest or conviction records, in accordance with all federal, state, and local laws. Apply Now! Apply for this job

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