At arenaflex, we're on a mission to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. As a data-powered, performance-driven healthcare company, we're dedicated to operational excellence and driven by empathy and powered by AI and predictive analytics. Our remote-embedded Healthguides and centralized Managed Service Organization enable us to build stronger connections with patients and providers, empowering our partners to deliver high-quality healthcare focused on outcomes and value.
**About arenaflex**
arenaflex is a physician-led company that empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. We're committed to making great healthcare affordable, improving the health of patients, and restoring the fulfillment of practicing medicine for providers. Our team is passionate about revolutionizing healthcare, and we're looking for talented individuals to join us on this journey.
**Job Description**
We're seeking a highly skilled and bilingual (Spanish) Customer Service Representative to join our team. As a Customer Service Representative, you'll be responsible for answering the phones in a timely manner, providing excellent customer service, and meeting set quality standards. You'll be the face of arenaflex, and your professionalism and courtesy will make a significant impact on our customers.
**Key Responsibilities**
* Assure the accurate and timely handling of client and member calls with total follow through
* Provide excellent customer service
* Answer client and provider questions, including but not limited to claims payment, status, and coverage information
* Interpret client health plan protocol
* Backup to the claims processing area by assisting with reports and workflow queues as assigned
* Check tracer documentation
* Maintain accurate and complete call documentation
* Maintain a high level of professionalism
* Return incoming calls
* Other duties as assigned
**Qualifications**
**What You'll Need to Have**
* Bilingual (English/Spanish) required
* Minimum of 2 years experience in a high-volume healthcare call center required
* Knowledge of healthcare claims review or processing required
* Health Care/Health insurance background required
* Experience with BCBS HMOI or other insurance plans a plus
* Use of multiple systems, including Teams and Excel, Jira is a plus
* Excellent verbal and written communication skills
* Must be available for an 8-hour shift between 8am to 6pm Central time
**What We Would Love for You to Have**
* HMO Managed care Medicare Advantage experience
**Skills and Competencies**
* Strong problem-solving skills
* Excellent communication and interpersonal skills
* Ability to work well under pressure and meet deadlines
* Proficiency in multiple systems, including Teams and Excel
* Strong analytical and critical thinking skills
* Ability to maintain confidentiality and handle sensitive information
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to the growth and development of our employees. We offer various resources dedicated to your learning and development, including:
* Comprehensive training programs
* Mentorship opportunities
* Professional development workshops
* Online courses and certifications
* Career advancement opportunities
**Work Environment and Company Culture**
arenaflex is a fully remote company, providing you with the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs. Our company culture is built on empathy, innovation, and collaboration. We're a team of passionate individuals who are dedicated to making a difference in the lives of our customers.
**Compensation, Perks, and Benefits**
* The base pay range for this role is between $19.00 to $20.00 per hour, paid bi-weekly
* Comprehensive Medical, Dental, and Vision plans
* 401(k) plan with a 3% employer match
* Life and Disability insurance
* Voluntary Life options
* Employee Assistance Program (EAP)
* Flexible Time Off tailored to meet your needs and the needs of the business
* Paid parental leave
* Opportunities for career advancement and professional growth
**Equal Opportunity Employment**
arenaflex is an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.
**Protection of Patient and Company Data**
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under arenaflex's custodianship as well as arenaflex Intellectual Properties.
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about revolutionizing healthcare, we encourage you to apply for this exciting opportunity. Please submit your application through our website.
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