At arenaflex, we're on a mission to revolutionize the way we approach customer service in the healthcare industry. As a Concierge Customer Service Representative, you'll be at the forefront of this movement, providing exceptional support to our clients and their members. If you're passionate about delivering top-notch service, navigating complex healthcare systems, and building meaningful relationships, we want to hear from you.
**About arenaflex**
arenaflex is a leading provider of innovative solutions for the healthcare industry. With over 35 years of experience, we've established ourselves as a trusted partner for clients seeking to mitigate risk, improve quality care, and reduce healthcare expenditures. Our team of passionate and driven individuals thrives on collaboration and innovation, and we're excited to welcome like-minded professionals to our community.
**Job Summary**
We're seeking a highly skilled Concierge Customer Service Representative to join our remote team. As a key member of our customer service team, you'll be responsible for providing exceptional support to our clients and their members, navigating complex healthcare systems, and building meaningful relationships. If you're a customer service rockstar with a passion for healthcare, we want to hear from you.
**Responsibilities**
As a Concierge Customer Service Representative, you'll be responsible for:
* Responding to telephone and email inquiries from members and providers within defined service standards
* Negotiating with providers to gain acceptance for plans without network agreements and/or out of network providers
* Assisting members with benefits and healthcare questions
* Documenting all calls received in system-based call log
* Collaborating with internal teams to resolve complex issues and improve customer satisfaction
* Staying up-to-date on industry developments, regulatory changes, and best practices in customer service
**Requirements**
To succeed in this role, you'll need:
* A minimum of a High School Diploma or GED, with 2 years of college or higher education preferred
* At least one year of customer service or call center experience in a healthcare-related role
* Medical intake or Third-Party Administrator (TPA) experience is a plus
* Bilingual English-Spanish skills are a plus
* Strong customer relations, interpersonal, and communication skills
* Ability to handle confidential and sensitive information with discretion
* Proficiency with Microsoft applications and strong computer skills
* Excellent data entry and typing skills
* Knowledge of provider organizations and networks
* Knowledge and understanding of CMS Medicare reimbursement rates
* Ability to effectively negotiate rate structures
* Strong analytical and research skills
* Medical terminology knowledge
* Strong attention to detail
**Preferred Qualifications**
* Experience in claim processing, insurance verification, or pre-certification
* Understanding of Self-Funded health benefits
* Provider office/facility billing department or financial area experience
* Strong analytical and research skills
**Work Environment and Physical Demands**
This position is in a typical office/home office environment, requiring prolonged sitting in front of a computer. You'll need to have hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including standard computer and phone equipment.
**Compensation and Benefits**
arenaflex offers a competitive compensation package, including:
* Hourly pay rate: $16.00 - $18.00 per hour
* Comprehensive benefits package, including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs
**How to Apply**
If you're a customer service rockstar with a passion for healthcare, we want to hear from you. Apply now to join our remote team and take your career to the next level.
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**Equal Opportunity Employer**
arenaflex is an Equal Opportunity Employer, including disability/veterans. We're committed to creating a diverse and inclusive work environment that values and respects all individuals.
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