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Experienced Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, arenaflex

Work from home Full-time role Hiring

At arenaflex, we're revolutionizing the healthcare experience by delivering high-quality care and service to our patients. As a passionate and innovative problem-solver, you'll join our team of dedicated professionals who are transforming the way healthcare is delivered. We're seeking a skilled Customer Service Specialist to manage patient inquiries, navigate healthcare needs, and provide world-class care.

About arenaflex

arenaflex is a leading healthcare organization that's committed to making healthcare more accessible and less complicated for our members. Our team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. We're dedicated to empowering patients in resolving financial responsibilities, maintaining the highest standards of healthcare privacy and professionalism, and fostering a diverse, inclusive environment where success is measured by positive patient impact.

Key Responsibilities

As a Customer Service Specialist, you'll be responsible for: - Handling patient phone calls and message inquiries, de-escalating issues, ensuring patient satisfaction, and assisting with navigating healthcare needs, including insurance, billing, medical records, authorizations, and referrals. - Collaborating with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions. - Proactively reaching out to patients with open balances to assist with payment options, educating admins and patients on health insurance benefits, answering complex billing inquiries, resolving payment processing issues, and maintaining service level agreements in response time to admins and patients. - Assisting admins with our member's billing needs via arenaflex's tasking system to provide the best customer service. - Investigating claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy. - Mastering arenaflex's technology suite, including RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System, to interact with team members and patients and complete daily work. - Contributing to team development through rounding, attending team huddles, participating in team problem-solving, supporting all in-office providers with urgent & stat patient needs.

A Day in the Life

In this role, you'll handle inbound calls from arenaflex patients regarding their medical bills, insurance claims, and payment inquiries. Daily activities include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.

About the Team

arenaflex's call center team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. Our team has focused on making healthcare more accessible and less complicated for members. We handle billing inquiries with empathy and efficiency. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.

Basic Qualifications

- 2+ years of customer service experience in a call center environment - 1+ years with medical billing, insurance claims, or healthcare revenue cycle - Demonstrated proficiency in Microsoft Office Suite - Experience using electronic health records (EHR) or customer relationship management (CRM) systems - Knowledge of HIPAA compliance and healthcare privacy regulations - High school diploma or equivalent

Preferred Qualifications

- Spanish Speaking - Ability to work various shifts - Strong problem-solving and documentation skills - Ability to type 45+ WPM while maintaining accuracy

Compensation and Benefits

arenaflex is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutarenaflex.com/workplace/employee-benefits. This position will remain posted until filled. Applicants should apply via our internal or external career site.

Join arenaflex

If you're passionate about delivering world-class care and service, we encourage you to apply for this exciting opportunity. As a Customer Service Specialist at arenaflex, you'll be part of a dynamic team that's transforming the healthcare experience. Apply now to join our team and make a difference in the lives of our patients. Apply for this job

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