At arenaflex, we're dedicated to providing exceptional healthcare services to our members, and we're seeking an experienced and compassionate Medical Customer Service Representative to join our team. As a key member of our healthcare advocacy team, you will serve as a liaison between our health plan and providers, ensuring that our members have access to the care they need. If you're passionate about healthcare, customer service, and community outreach, we encourage you to apply for this exciting opportunity.
**About arenaflex**
arenaflex is a leading provider of innovative healthcare solutions, committed to improving the lives of our members and the communities we serve. With a strong presence in Waco, TX, and surrounding areas, we're dedicated to delivering exceptional customer service, promoting member education, and identifying and resolving systemic barriers that limit access to care.
**Job Summary**
As a Medical Customer Service Representative, you will be responsible for:
* Acting as an advocate for our members, ensuring their needs are met and their voices are heard
* Establishing a community presence to promote member education and identify potential access barriers
* Investigating and resolving access and cultural sensitivity issues identified by member services staff, state staff, providers, advocacy organizations, and recipients
* Participating in local community organizations to acquire knowledge and insight regarding the special healthcare needs of our members
* Serving as a primary contact for member advocacy groups, human services agencies, and state entities
* Maintaining confidentiality per HIPAA guidelines
**Key Responsibilities**
* Receive and respond to member complaints and formal grievances, identifying potential access barriers and resolving as indicated in the grievance procedure
* Investigate and resolve access and cultural sensitivity issues identified by member services staff, state staff, providers, advocacy organizations, and recipients
* Participate in local community organizations to acquire knowledge and insight regarding the special healthcare needs of our members
* Serve as a primary contact for member advocacy groups, human services agencies, and state entities
* Maintain confidentiality per HIPAA guidelines
* Develop and implement strategies to promote member education and identify potential access barriers
* Collaborate with internal stakeholders to resolve member complaints and grievances
* Provide exceptional customer service to our members, responding to their needs and concerns in a timely and professional manner
**Essential Qualifications**
* High school diploma or equivalent
* 3 years of customer service experience in a healthcare environment
* Medicare and/or Medicaid experience preferred
* Bilingual in Spanish preferred
* Strong communication and interpersonal skills
* Ability to work in a fast-paced environment and prioritize multiple tasks
* Strong problem-solving and analytical skills
* Ability to maintain confidentiality and handle sensitive information
**Preferred Qualifications**
* Experience working with diverse populations and communities
* Knowledge of healthcare policies and procedures
* Familiarity with HIPAA guidelines and regulations
* Experience working in a community outreach or advocacy role
* Strong understanding of healthcare access barriers and cultural sensitivity issues
**Skills and Competencies**
* Excellent communication and interpersonal skills
* Strong problem-solving and analytical skills
* Ability to work in a fast-paced environment and prioritize multiple tasks
* Strong customer service skills, with a focus on member satisfaction and retention
* Ability to maintain confidentiality and handle sensitive information
* Strong knowledge of healthcare policies and procedures
* Familiarity with HIPAA guidelines and regulations
* Experience working with diverse populations and communities
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to helping our employees grow and develop their careers. As a Medical Customer Service Representative, you'll have access to:
* Ongoing training and development opportunities to enhance your skills and knowledge
* Mentorship and coaching from experienced colleagues
* Opportunities for career advancement and professional growth
* A dynamic and supportive work environment that encourages collaboration and innovation
**Work Environment and Company Culture**
arenaflex is a dynamic and supportive work environment that values collaboration, innovation, and customer satisfaction. As a Medical Customer Service Representative, you'll work in a fast-paced environment, prioritizing multiple tasks and resolving complex issues. Our company culture is built on:
* A commitment to excellence and customer satisfaction
* A focus on diversity, equity, and inclusion
* A supportive and collaborative work environment
* Opportunities for growth and development
* A comprehensive benefits package, including medical, dental, and vision insurance, as well as 401(k) matching and paid time off
**Compensation, Perks, and Benefits**
arenaflex offers a competitive compensation package, including:
* A salary range of $45,000 - $60,000 per year, depending on experience
* Comprehensive benefits package, including medical, dental, and vision insurance
* 401(k) matching and paid time off
* Opportunities for career advancement and professional growth
* A dynamic and supportive work environment that encourages collaboration and innovation
**How to Apply**
If you're passionate about healthcare, customer service, and community outreach, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience and qualifications. We're an equal opportunity employer and welcome applications from diverse candidates.
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