Concierge Customer Service Representative – Remote Opportunity at arenaflex
Join arenaflex, a leading innovator in healthcare solutions, and take your career to the next level as a Concierge Customer Service Representative. At arenaflex, we are a community of passionate, driven individuals who thrive on innovation and collaboration. For over 35 years, we have partnered with clients to develop innovative and effective solutions to address their needs. By mitigating risk within the plan population and focusing on quality care and improved outcomes, we reduce healthcare expenditures for the plan and plan member. We offer competitive compensation and a comprehensive benefits package, including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs.
About the Role:
As a Concierge Customer Service Representative at arenaflex, you will play a critical role in delivering exceptional customer experiences to our members and providers. You will be responsible for responding to telephone and email inquiries, negotiating with providers, and assisting members with benefits and healthcare questions. Your strong customer relations, interpersonal skills, and ability to handle confidential and sensitive information will make you an invaluable asset to our team.
Key Responsibilities:
* Respond to telephone and email inquiries received from members and providers within defined service standards
- Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
- Assist members with benefits and healthcare questions
- Document all calls received in system-based call log
- Perform other duties or responsibilities as assigned by management
Requirements and Qualifications:
* High School Diploma or equivalent, 2 years of college or higher education preferred
- One year of Customer Service/Call Center experience in a healthcare-related role
- Medical Intake or Third-Party Administrator (TPA) experience preferred
- Bilingual English/Spanish a plus
- Strong customer relations, interpersonal skills, and ability to handle confidential and sensitive information
- Proficient with Microsoft applications, strong computer skills, and computer navigation
- Excellent data entry and typing skills
- Knowledge of provider organizations and networks
- Knowledge and understanding of CMS Medicare reimbursement rates
- Ability to effectively negotiate rate structures
- Takes initiative to resolve situations and to accomplish projects, actions, and tasks
- Excellent verbal and written communication skills
- Independent judgment in decision making and problem solving
- Ability to multitask and anticipate potential needs/problems
- Ability to build relationships with internal and external customers
- Medical Terminology
- Strong attention to detail
- Understanding of Self-Funded health benefits a plus
- Claim processing skills a plus
- Insurance verification or precertification a plus
- Provider office/facility billing department or financial area
- Strong analytical and research skills
Work Environment and Physical Demands:
This position is in a typical office/home office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment.
Compensation and Benefits:
* Pay range: $16.00 to $18.00 per hour
- Comprehensive benefits package, including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs
What We Offer:
* Competitive compensation and benefits package
- Opportunity to work with a leading innovator in healthcare solutions
- Collaborative and dynamic work environment
- Professional development and growth opportunities
- Recognition and rewards for outstanding performance
- Comprehensive training and support
How to Apply:
If you are a motivated and customer-focused individual who is passionate about delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, through our website.
Equal Opportunity Employer:
arenaflex is an Equal Opportunity Employer, including disability/veterans. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees.
Authorized to Work:
Applicants must be authorized to work for any employer in the United States. We are unable to sponsor applicants for employment.
Join our Team:
At arenaflex, we are a community of passionate, driven individuals who thrive on innovation and collaboration. We are committed to delivering exceptional customer experiences and making a positive impact in the lives of our members and providers. If you are a motivated and customer-focused individual who is passionate about delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Apply for this job