Experienced Medicare Outreach Customer Service Representative – Remote Opportunity at arenaflex

Join arenaflex, a leading organization in the healthcare industry, as we strive to deliver high-quality services and improve the lives of our members. At arenaflex, we are committed to fostering a culture of innovation, collaboration, and excellence. Our team of dedicated professionals is passionate about making a positive impact in the lives of our members, and we are seeking a talented Medicare Outreach Customer Service Representative to join our team.

About arenaflex

arenaflex is a dynamic organization with a rich history of providing high-quality healthcare services to our members. Our mission is to help people live healthier and more satisfying lives, and we are dedicated to delivering on this promise through our innovative products and services.

Our Culture

At arenaflex, we value the talents and abilities of all our employees and strive to create an open, cooperative, and dynamic environment in which employees and the health plans can thrive. We believe that every employee is a leader in driving our organization forward and delivering quality service to our members.

About the Role

As a Medicare Outreach Customer Service Representative, you will play a critical role in delivering, strategizing, and improving quality with a focus on primary care. You will educate and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan. You will establish and maintain relationships for the promotion of healthy lifestyles among membership and track and trend HEDIS or Medicare Stars rates.

Key Responsibilities

- Deliver, strategize, and improve quality with a focus on primary care - Educate and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan - Establish and maintain relationships for the promotion of healthy lifestyles among membership - Track and trend HEDIS or Medicare Stars rates - Foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned - Support the Customer Service department Medicare Stars Program

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)

Skills and Competencies

- Excellent communication and interpersonal skills - Ability to work in a fast-paced environment and prioritize tasks effectively - Strong analytical and problem-solving skills - Ability to work independently and as part of a team - Strong customer service skills and ability to resolve conflicts effectively - Ability to learn and adapt quickly to new systems and processes

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to the growth and development of our employees. We offer a range of training and development opportunities to help you advance your career and achieve your goals. Our comprehensive benefits package includes: - Competitive salary and benefits package - Opportunities for career advancement and professional growth - Comprehensive training and development programs - Collaborative and dynamic work environment - Recognition and rewards for outstanding performance

Work Environment and Company Culture

arenaflex is a fully remote organization, offering the flexibility and autonomy to work from anywhere. Our company culture is built on a foundation of innovation, collaboration, and excellence. We value diversity, equity, and inclusion and strive to create a work environment that is inclusive and respectful of all employees.

Compensation, Perks, and Benefits

arenaflex offers a competitive salary and benefits package, including: - Competitive salary - Comprehensive health insurance - Retirement savings plan - Paid time off and holidays - Flexible work arrangements - Professional development opportunities

How to Apply

If you are a motivated and results-driven individual with a passion for delivering high-quality customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!

Equal Opportunity Employer

arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a work environment that is inclusive and respectful of all employees. Apply for this job