**Join arenaflex's dynamic team and contribute to the growth and success of our organization**
Are you passionate about delivering exceptional customer service and promoting healthy lifestyles among diverse communities? Do you have a strong background in customer service, outreach, and healthcare administration? If so, we invite you to apply for the Experienced Medicare Outreach Customer Service Representative position at arenaflex.
**About arenaflex**
arenaflex is a leading organization in the healthcare industry, dedicated to helping people live healthier and more satisfying lives. Our mission is to provide high-quality healthcare services, innovative solutions, and exceptional customer experiences. As a dynamic and forward-thinking organization, we value the talents and abilities of all our employees and strive to foster an open, cooperative, and dynamic environment where everyone can thrive.
**About the Role**
As an Experienced Medicare Outreach Customer Service Representative at arenaflex, you will play a critical role in delivering, strategizing, and improving quality with a focus on primary care. Your primary responsibilities will include:
* Educating and networking with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan
* Establishing and maintaining relationships for the promotion of healthy lifestyles among membership
* Tracking and trending HEDIS or Medicare Stars rates
* Providing exceptional customer service to members and providers, ensuring positive outcomes and fostering the Plan's presence in the community
* Interacting with members, providers, and outside agencies as assigned to support the Customer Service department Medicare Stars Program
**Key Responsibilities:**
* Deliver high-quality customer service to members and providers, ensuring positive outcomes and fostering the Plan's presence in the community
* 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:**
* **Required:**
+ High School Diploma or equivalent educational certification
+ Two (2) years' experience in a customer service-related position
* **Preferred:**
+ Associate Degree in health care administration, communication, marketing, or related field
+ One year experience in a community-focused outreach position
+ NCQA experience specific to HEDIS measurement
+ In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.
**Skills and Competencies:**
* Excellent communication and interpersonal skills
* Strong customer service skills, with the ability to resolve complex issues and provide positive outcomes
* Ability to work in a fast-paced environment, prioritizing multiple tasks and deadlines
* Strong analytical and problem-solving skills, with the ability to track and trend data
* Ability to work independently and as part of a team, fostering a collaborative and dynamic environment
* Strong understanding of healthcare administration, including claims administration and HEDIS measurement
* Ability to maintain confidentiality and handle sensitive information with discretion
**Career Growth Opportunities and Learning Benefits:**
* arenaflex offers a dynamic and supportive work environment, with opportunities for career growth and professional development
* Our organization is committed to providing ongoing training and education, helping you stay up-to-date with the latest industry trends and best practices
* You will have the opportunity to work with a talented and diverse team, collaborating on innovative projects and initiatives
* arenaflex offers a comprehensive benefits package, including health, dental, and vision insurance, as well as a 401(k) retirement plan
**Work Environment and Company Culture:**
* arenaflex is a fully remote organization, offering the flexibility and autonomy to work from anywhere
* Our organization values diversity, equity, and inclusion, fostering a culture of respect, empathy, and understanding
* We prioritize work-life balance, offering flexible scheduling and generous paid time off
* arenaflex is an equal opportunity employer, committed to creating a workplace that is inclusive and welcoming to all
**Compensation, Perks, and Benefits:**
* arenaflex offers a competitive salary and benefits package, including health, dental, and vision insurance, as well as a 401(k) retirement plan
* You will receive a comprehensive benefits package, including paid time off, holidays, and flexible scheduling
* arenaflex offers a range of perks and benefits, including a wellness program, employee assistance program, and professional development opportunities
**How to Apply:**
If you are a motivated and customer-focused individual with a passion for promoting healthy lifestyles among diverse communities, we invite you to apply for the Experienced Medicare Outreach Customer Service Representative position at arenaflex. Please submit your resume and cover letter, highlighting your relevant experience and qualifications. We look forward to hearing from you!
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