Experienced Customer Service Representative – Healthcare and Insurance Industry

At arenaflex, we're committed to delivering exceptional customer experiences that exceed our members' expectations. As a key member of our customer service team, you'll play a vital role in providing top-notch support to our Health First Health Plans (HFHP) customers. If you're passionate about delivering world-class service, have a knack for problem-solving, and thrive in a fast-paced environment, we want to hear from you!

Job Summary:

As an HFHP Customer Service Associate at arenaflex, you'll be the face of our organization, providing accurate and professional service to our customers while adhering to department policies. You'll be responsible for responding to customer inquiries, resolving issues, and ensuring that our members receive the highest level of care. If you're a team player with excellent communication skills, a strong work ethic, and a passion for delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity.

Key Responsibilities:

* Provide accurate and professional service to customers, adhering to department policies and procedures

• Respond to customer inquiries by researching, understanding, and documenting plan information related to covered benefits and exclusions, eligibility, enrollment and disenrollment, participating providers, claims payments and processes, authorization processes, premium billing, and plan guidelines
• Assist Health First Health Plans customers in a caring and knowledgeable manner, representing the organization as a skilled healthcare professional
• Handle incoming sales inquiries from prospective customers by answering basic questions and referring to a licensed sales agent for closure
• Provide assistance with customer service walk-in members in a timely and efficient manner
• Meet individual Call Center performance standards as determined by management
• Properly identify and elevate concerns affecting customers or Health Plans' ability to serve them
• Participate in special projects as requested or approved by management

Qualifications:

* The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience. Some college preferred

• One year related work experience in a call center or customer service environment interacting with customers
• Must be able to work the designated shift and overtime as needed
• Must be able to talk and type at the same time and communicate effectively while multitasking
• Must be able to navigate through multiple screens and computer applications while reviewing benefit information
• Ability to accurately type 45 words per minute while speaking with a customer on the phone
• Intermediate to Advanced computer skills, including Microsoft Applications
• Bi-lingual Candidates must be able to speak, read, write, and comprehend in Spanish and English
• Certification required by passing, Bi-lingual/Medical Interpretation test, provided by ATLA at Health First CFL

Physical and Mental Demands:

* Ability to sit and view a computer screen for several hours at a time

• Work effectively in a fast-paced and often stressful environment
• Excellent verbal, interpersonal, and written communication skills
• Superior customer service telephone skills, including active listening and questioning skills
• Basic math, analytical, and problem-solving skills
• Ability to think critically to define issues, identify risks, and propose outcomes
• Maintaining a high level of motivation, initiative, and accountability
• Organization, prioritization, and time management
• Ability to interact professionally and work effectively as a team with all levels of employees and management
• Handling multiple tasks, often within limited time frames
• Must be able to work in a team environment illustrating cooperation and respect
• Excellent attendance is required and ability to work a flexible schedule

Why Join arenaflex?

* Competitive salary and benefits package

• Opportunity to work in a dynamic and fast-paced environment
• Collaborative and supportive team culture
• Professional development and growth opportunities
• Flexible work arrangements, including remote work options
• Recognition and rewards for outstanding performance

How to Apply:

If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Click the link below to submit your application, and we'll be in touch soon! Apply To This Job

About arenaflex:

arenaflex is a leading provider of healthcare and insurance services, dedicated to delivering exceptional customer experiences that exceed our members' expectations. We're committed to creating a workplace culture that values diversity, inclusion, and employee well-being. Join our team and be part of a dynamic and collaborative environment that's passionate about making a difference in the lives of our customers.

Equal Employment Opportunity:

arenaflex is an equal employment opportunity employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds and perspectives. Apply for this job