Experienced Healthcare Customer Service Advocate – Remote Opportunity with arenaflex

Join arenaflex, a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide, as a valued member of our team. As a Healthcare Customer Service Advocate, you will play a crucial role in delivering exceptional customer service to our clients and their members, ensuring their satisfaction on calls. This is a unique opportunity to join a dynamic and growing organization, where you will have the chance to grow your career and make a meaningful impact in the healthcare industry.

About arenaflex

arenaflex is a mission-critical partner to healthcare plans nationwide, providing claims processing services, including digital transformation, claims adjudication, and member and provider engagement services. With a strong commitment to excellence, arenaflex has developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance, and automation of claims operations for its clients. Headquartered in Tampa, arenaflex operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

Job Type and Schedule

This is a full-time, 100% remote position, requiring a strong internet connection and a quiet dedicated work area. The schedule is Monday to Friday, 11:00am to 8:00pm EST (10:00am to 7:00pm CT).

Key Responsibilities

As a Healthcare Customer Service Advocate, you will be responsible for:

• Managing inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy
• Providing information on membership options, benefits, and account status on behalf of our clients
• Reviewing, verifying, and processing membership applications efficiently, ensuring completeness and accuracy of all required information
• Maintaining and updating member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts
• Handling multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality
• Performing regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies
• Collaborating with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients
• Continuously identifying opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency

Job Description

As a Healthcare Customer Service Advocate, you will be responsible for handling customer service inbound calls, providing information on the status of authorization requests, and maintaining a high level of professionalism and customer service in all interactions. You will also be responsible for addressing and managing re-direct requests, handling requests to re-fax authorization documents as needed, and accurately documenting call interactions and outcomes in the appropriate systems.

Qualifications

To be successful in this role, you will need:

• High School Diploma or General Education Degree (GED) required
• At least 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field
• Healthcare Medical Terminology
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Experience with CRM systems or membership databases
• Strong typing and data entry skills, with the ability to manage multiple systems simultaneously
• Ability to clear a background check

Other Qualifications

We are looking for individuals with:

• Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency
• Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment
• Communication Skills: Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members
• Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively
• Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with arenaflex's commitment to excellence

Work from Home Requirements

To work from home, you will need:

• High Speed Internet of 25MBPS download and 5MBPS upload
• Ability to directly hardwire equipment to your modem
• Quiet dedicated work area

What We Offer

arenaflex offers a comprehensive benefits package, including:

• Paid training period
• Medical, Dental, Life, Vision, HSA, 401K
• PTO
• Equipment provided

Equal Employment Opportunity

arenaflex provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

How to Apply

If you are a motivated and customer-focused individual looking for a challenging and rewarding career opportunity, please apply to this position. We look forward to hearing from you! [Apply Now](https://dailyremote.com/remote-job/remote-customer-service-advocate-3677973?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic) Apply for this job