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Experienced Customer Service Representative – Remote Call Center Support for arenaflex

Remote role Full-time Open position

At arenaflex, we're dedicated to delivering exceptional customer experiences that exceed expectations. As a leading non-profit healthcare organization, we're passionate about empowering individuals and communities to achieve optimal health and well-being. We're now seeking an enthusiastic and customer-focused Customer Service Representative to join our remote call center team! As a Customer Service Representative at arenaflex, you'll play a vital role in assisting customers with their questions, concerns, and inquiries. You'll be the face of our organization, providing accurate information, education, and support to our members, providers, and internal departments. If you're passionate about delivering exceptional customer experiences, have a strong commitment to customer service, and are eager to join a dynamic team, we encourage you to apply for this exciting opportunity!

Key Responsibilities:

* Answer incoming calls, demonstrating a customer-focused philosophy for all customers, including providers, members, potential members, state agencies, and other internal and external customers.

  • Explain existing policies, procedures, and benefits to members, providers, and internal departments.
  • Research, resolve, and document customer inquiries, concerns, and issues, providing accurate information and education for all inquiries.
  • Conduct outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed.
  • Utilize resource materials, policies, and procedures, handouts, databases, training opportunities, and multiple systems to help with day-to-day activity.
  • Provide clear and thorough documentation into our CRM tool for each call received.
  • Maintain strict confidentiality of member, provider, clinical, and organizational information.
  • Communicate clearly and effectively with all internal departments and staff, as well as members, providers, state agencies, and other external contacts.
  • Work closely with all departments and multidisciplinary teams in support of company goals related to development and implementation of new lines of business, increased enrollment, and compliance with state and federal regulations and NCQA requirements.
  • Assist with departmental projects as necessary and directed by the Customer Service management team. Perform other duties as assigned in between calls or during slow periods.

Essential Qualifications:

* Ability to work in a call center environment and answer inquiries in a professional manner.

  • 1-2 years of customer service experience.
  • Strong Microsoft Office skills.
  • High School diploma or equivalent required.
  • Medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred).
  • Ability to identify and appropriately handle grievances and appeals, and to facilitate quality of outcomes and/or resolutions for the benefit of all applicable parties.
  • Demonstrates support for the client's mission, vision, and values.
  • Strong written and verbal communication skills, problem-solving skills, attention to detail, organizational, and time management skills, and ability to handle multiple priorities.

Preferred Qualifications:

* 1-2 years of experience in a call center environment.

  • Strong knowledge of medical insurance (Medicare and Medicaid) eligibility/enrollment.
  • Experience working with CRM tools and databases.
  • Certification in customer service or a related field.

What We Offer:

* Competitive hourly rate of $19-$24 per hour, depending on experience.

  • Opportunity to work with a dynamic and growing organization in the non-profit healthcare sector.
  • Remote work environment with flexible scheduling.
  • Comprehensive benefits package, including dental insurance, health insurance, and vision insurance.
  • Ongoing training and development opportunities to enhance your skills and knowledge.
  • Collaborative and supportive team environment.

How to Apply:

If you're passionate about delivering exceptional customer experiences and are eager to join a dynamic team, we encourage you to apply for this exciting opportunity! Please submit your application, including your resume and a cover letter, through our website. We can't wait to hear from you!

About arenaflex:

arenaflex is a leading non-profit healthcare organization dedicated to delivering exceptional customer experiences that exceed expectations. We're passionate about empowering individuals and communities to achieve optimal health and well-being. Our team is committed to providing high-quality services, support, and education to our members, providers, and internal departments. We're proud to be a part of the arenaflex family and look forward to welcoming you to our team!

Equal Employment Opportunity:

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating an inclusive and supportive work environment that values diversity, equity, and inclusion. Apply for this job

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