Experienced Medicare Outreach Customer Service Representative – Remote Opportunity at arenaflex

Join arenaflex, a dynamic organization dedicated to helping people live healthier and more satisfying lives, as we seek an experienced Medicare Outreach Customer Service Representative to join our team. At arenaflex, we pride ourselves on being a leader in the healthcare industry, with a culture of high performance and a mission to make a positive impact on the lives of our members. Our organization is comprised of various subsidiaries, including arenaflex Health Plan and MDwise, Inc., which value the talents and abilities of all our employees and strive to foster an open, cooperative, and dynamic environment in which employees and the health plans can thrive. As an employee of arenaflex, you will be part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. Our Michigan-based health plan, arenaflex Health Plan, is dedicated to meeting the healthcare needs of each of our Michigan members, while our Indiana-based health plan, MDwise, Inc., works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.

About the Role:

We are seeking an experienced Medicare Outreach Customer Service Representative to join our team in a fully remote position. As a key member of our Customer Service department, you will be responsible for delivering, strategizing, and improving quality with a focus on primary care. Your primary responsibilities will include: - Educating and networking with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan - Establishing and maintaining relationships for the promotion of healthy lifestyles among membership - Tracking and trending HEDIS or Medicare Stars rates - Responsible for member and provider contacts and positive outcomes - Fostering the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned

This position will support the Customer Service department Medicare Stars Program.

Key Qualifications:

- High School Diploma or equivalent educational certification - Two (2) years' experience in a customer service-related position - Associate Degree in health care administration, communication, marketing, or related field (Preferred) - One year experience in a community-focused outreach position (Preferred) - NCQA experience specific to HEDIS measurement (Preferred) - In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc. (Preferred)

What We Offer:

- A dynamic and supportive work environment - Opportunities for career growth and professional development - Competitive compensation and benefits package - Recognition and rewards for outstanding performance - A chance to make a positive impact on the lives of our members

Why Join arenaflex?

At arenaflex, we are committed to creating a workplace culture that values diversity, equity, and inclusion. We believe that our employees are our greatest asset, and we strive to provide a work environment that is inclusive, supportive, and empowering. We offer a range of benefits and programs to support our employees' physical, emotional, and financial well-being, including: - Comprehensive health insurance - Retirement savings plan - Paid time off and holidays - Professional development opportunities - Recognition and rewards programs

How to Apply:

If you are a motivated and results-driven individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our online application portal.

Equal Opportunity Employer:

arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace culture that values diversity, equity, and inclusion.

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Apply Now:

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Note:

arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace culture that values diversity, equity, and inclusion. Apply for this job