Experienced Healthcare Insurance Customer Service Representative – Wisconsin Residents Only
At arenaflex, we're dedicated to delivering exceptional customer experiences that exceed expectations. As a key member of our team, you'll play a vital role in providing top-notch support to our healthcare insurance customers, ensuring their needs are met with empathy, expertise, and a commitment to excellence. If you're passionate about delivering outstanding service, have a knack for problem-solving, and thrive in a dynamic environment, we invite you to join our team as an Experienced Healthcare Insurance Customer Service Representative.
About arenaflex
arenaflex is a leading provider of innovative solutions that transform the way healthcare is delivered. Our mission is to empower individuals, families, and communities to achieve optimal health and well-being. With a strong commitment to customer-centricity, we strive to create a seamless experience that meets the evolving needs of our customers. As a member of our team, you'll be part of a collaborative and inclusive environment that fosters growth, learning, and innovation.
Key Responsibilities
As an Experienced Healthcare Insurance Customer Service Representative, you'll be responsible for:
- Answering incoming phone calls and emails from providers, members, customers, or brokers regarding questions of coverage, claim status, benefit interpretation, billing, and/or authorizations.
- Responding to inquiries within set timeframes to adhere to department metrics and contractual standards.
- Probing and asking appropriate questions to identify specifics of caller inquiries to ensure first call resolution.
- Documenting details of interactions within the database, including any additional action steps taken as follow-up.
- Following up with customers or other departments on outstanding issues or concerns. Escalating appropriate issues to Supervisor or appropriate individual.
- Supporting members by answering calls and proactively working to resolve their questions and concerns.
- Striving for first call resolution, working to resolve member issues at the point of contact.
- Utilizing dual monitors while leveraging computer-based resources to find answers to customers' questions and help simplify next steps for members.
- Reaching out to internal departments or external resources to help resolve member concerns.
- Demonstrating commitment and behavior aligned with the philosophy, mission, values, and vision of arenaflex.
- Appropriately applying all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies.
Additional Skills & Qualifications
* Experience working in a call center environment is preferred.
- Knowledge of basic insurance concepts is preferred.
- Intermediate skills in Microsoft Office, including Outlook, Excel, and Word.
- Capacity to multi-task by navigating multiple computer applications and programs simultaneously.
Employee Value Proposition (EVP)
At arenaflex, we believe in investing in our employees' growth and development. Once hired, there are opportunities for advancement outside of the Member Service Rep role. Our comprehensive training program will equip you with the skills and knowledge necessary to excel in your role and beyond.
Work Environment
* Remote work arrangement available in Wisconsin.
- Hybrid arrangement available with an in-office stipend equivalent to $100 per week, paid in addition to the hourly rate.
- Initial training period is a 6-8 week program with a work schedule of Monday - Friday from 8:00am - 4:30pm. After training, you can select a Monday - Friday work schedule of either 8:30am to 5:00pm or 9:00am - 5:30pm.
Remote Requirements
* Telecommute work site must be a room with a door that shuts.
- Telecommuting placement will not provide primary care for any individuals during regularly scheduled work hours.
- Reliable internet connection with a minimum of 10 Mbps to accommodate Voice Over Internet Protocol (VOIP).
Pay and Benefits
The pay range for this position is $18.25 - $18.25/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on May 14, 2025.
About arenaflex
arenaflex is a leading provider of innovative solutions that transform the way healthcare is delivered. Our mission is to empower individuals, families, and communities to achieve optimal health and well-being. With a strong commitment to customer-centricity, we strive to create a seamless experience that meets the evolving needs of our customers. As a member of our team, you'll be part of a collaborative and inclusive environment that fosters growth, learning, and innovation.
Equal Opportunity Employer
arenaflex is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you're passionate about delivering exceptional customer experiences and are looking for a dynamic and inclusive work environment, we invite you to apply for the Experienced Healthcare Insurance Customer Service Representative role at arenaflex. Apply for this job