At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As a Provider Customer Service Call and Chat Representative, you will play a crucial role in supporting providers who care for our members. This position involves responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. You will be part of a full-time team working 40 hours a week, Monday through Friday, with shifts scheduled during our normal business hours of 11:35 AM to 8:05 PM EST. Given the nature of the business, there may be occasional overtime, weekend, and holiday work required, especially during peak seasons.
**About arenaflex**
arenaflex is a leading health care organization that is committed to making a positive impact on the lives of our members and the communities we serve. We believe in the importance of providing exceptional customer service and creating a supportive environment for our employees to grow and develop their skills. As a telecommuter, you will be part of a dynamic team that is dedicated to making a difference in the health care system.
**Responsibilities**
As a Provider Customer Service Call and Chat Representative, your primary responsibilities will include:
* Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues.
* Serving providers in a multi-channel environment including call and concurrent chat as required.
* Quickly and appropriately triaging contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
* Seeking to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
* Researching and dissecting complex prior authorization and claim issues and taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction.
* Collaborating effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
* Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types.
* Influencing providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution.
**Requirements**
To be successful in this role, you will need to meet the following requirements:
* High School Diploma / GED OR equivalent work experience.
* Must be 18 years of age OR older.
* 1+ years of customer service experience with analyzing and solving customer's concerns.
* Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications.
* Ability to type at the speed of greater than or equal to 35 - 40+ WPM (words per minute) with an accuracy of 90%.
* Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 11:35 AM - 8:05 PM EST from Monday - Friday.
**Nice-to-haves**
While not required, the following experience and skills would be beneficial in this role:
* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
* Prior health care experience and knowledge of healthcare terminology.
**Benefits**
As a Provider Customer Service Call and Chat Representative, you will enjoy the following benefits:
* 10 weeks of paid on-the-job training.
* Flexible telecommuting options for those within a 60-mile commutable distance.
* Opportunities for career development and advancement within the organization.
**Work Environment and Company Culture**
As a telecommuter, you will be working from the comfort of your own home, with the flexibility to create your own schedule and work environment. arenaflex is committed to creating a supportive and inclusive work environment that encourages collaboration, innovation, and growth. Our company culture is built on the values of integrity, compassion, and excellence, and we strive to make a positive impact on the lives of our employees and the communities we serve.
**Career Growth Opportunities and Learning Benefits**
arenaflex is committed to the growth and development of our employees, and we offer a range of opportunities for career advancement and learning. As a Provider Customer Service Call and Chat Representative, you will have the opportunity to develop your skills and knowledge in a supportive environment, with clear direction and guidance from our experienced team. We also offer a range of training programs and resources to help you succeed in your role and achieve your career goals.
**Compensation, Perks, and Benefits**
arenaflex offers a competitive compensation package, including a salary, benefits, and perks. As a telecommuter, you will have the flexibility to create your own schedule and work environment, and we offer a range of benefits to support your health, wellness, and financial security. These include:
* Competitive salary and benefits package.
* Flexible telecommuting options.
* Opportunities for career development and advancement.
* Comprehensive training program.
* Access to a range of training programs and resources.
* Supportive and inclusive work environment.
**Conclusion**
If you are a motivated and customer-focused individual who is passionate about making a positive impact on the health care system, we encourage you to apply for this exciting opportunity. As a Provider Customer Service Call and Chat Representative, you will have the opportunity to develop your skills and knowledge in a supportive environment, with clear direction and guidance from our experienced team. We offer a range of benefits, including flexible telecommuting options, opportunities for career development and advancement, and a comprehensive training program. Apply today to join our dynamic team and make a difference in the lives of our members and the communities we serve.
**Apply Now**
To apply for this exciting opportunity, please visit our website at [insert website URL]. We look forward to hearing from you and learning more about your qualifications and experience.
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