Remote Customer Service Representative – arenaflex Healthcare Claims & Provider Support (EST/PST/CST)

Why Join arenaflex? – A Purpose‑Driven Leader in Health Care

At arenaflex, we live by a single, clear purpose: Bringing our heart to every moment of your health. This purpose fuels a culture where every interaction—whether with a member, a provider, or a colleague—is rooted in empathy, innovation, and a relentless drive to make health care more personal, convenient, and affordable. As a rapidly expanding health‑care organization, arenaflex invests heavily in technology, employee development, and community impact, giving you the platform to grow while you help others thrive.

Position Overview – Remote, Flexible, Impactful

We are seeking a dedicated Customer Service Representative to join our high‑volume Claims Inquiry/Claims Research team. This fully remote role serves members, providers, and plan sponsors across the United States, with a focus on the Eastern, Central, and Pacific time zones (EST, CST, PST). Your day‑to‑day will involve answering inbound calls, resolving complex claims questions, and guiding providers through self‑service tools—all while embodying arenaflex’s “Heart at Work” behaviors.

Key Responsibilities

• Answer inbound provider calls, letters, and electronic messages with professionalism and empathy.
• Conduct thorough claims research across multiple platforms to clarify payment questions, eligibility, and coverage details.
• Tri­age complex issues and route re‑work to the appropriate internal teams, ensuring swift resolution.
• Provide proactive information—such as plan benefits, self‑service options, and member rights—to address unasked questions.
• Utilize the customer‑service threshold framework to make informed financial decisions that resolve member and provider concerns.
• Process claim referrals, new claim handoffs, nurse reviews, complaints, grievances, and appeals using the target system.
• Educate providers on self‑service portals, credentialing, re‑credentialing, and contracting processes.
• Assist in compiling claim data for audits, verifying medical necessity, coverage provisions, and member eligibility.
• Maintain accurate documentation of all interactions in the CRM system to support compliance and continuous improvement.
• Adhere to a flexible schedule that spans 7 am – 7 pm local time, allowing you to balance personal commitments while meeting business needs.

Essential Qualifications

• Proficiency with Microsoft Office Suite (Word, Excel, Teams) and the ability to navigate multiple applications simultaneously while on a call.
• Demonstrated experience in a high‑transaction call‑center environment, preferably within health‑care or insurance.
• Strong critical‑thinking and problem‑solving skills, with a track record of delivering accurate, timely resolutions.
• Excellent verbal communication and active‑listening abilities, enabling you to convey complex information clearly.
• Reliable high‑speed internet (minimum 100 Mbps) with a wired Ethernet connection; a speed test will be required during the interview process.
• High school diploma or GED equivalent; additional certifications or coursework in health‑care administration is a plus.

Preferred Qualifications

• Background in health‑care, medical billing, or health‑insurance claims processing.
• Familiarity with health‑care terminology, CPT/HCPCS codes, and insurance benefit structures.
• Experience using claim‑management or CRM platforms such as Salesforce, ServiceNow, or proprietary arenaflex systems.
• Previous remote work experience, demonstrating self‑discipline and effective time management.

Core Skills & Competencies

• Customer‑Centric Mindset: Ability to put members and providers first, anticipating needs before they arise.
• Analytical Acumen: Skill in interpreting claim data, identifying patterns, and recommending process improvements.
• Technical Agility: Comfort with learning new software tools quickly and adapting to evolving technology stacks.
• Collaboration: Strong teamwork orientation, working closely with underwriting, nursing, and compliance teams.
• Resilience: Capacity to handle high‑volume, high‑stress situations while maintaining composure and professionalism.

Career Growth & Learning Opportunities

arenaflex is committed to your professional development. As a Customer Service Representative, you will have access to:

• Structured onboarding and mentorship programs that pair you with seasoned claims specialists.
• Continuous learning portals offering courses on health‑care policy, advanced claims analysis, and customer‑experience design.
• Opportunities to transition into specialized roles such as Claims Analyst, Provider Relations Specialist, or Quality Assurance Lead.
• Leadership development tracks for high‑performing individuals who aspire to supervisory or managerial positions.

Work Environment & Culture at arenaflex

Our remote workforce is built on trust, flexibility, and a shared sense of purpose. arenaflex fosters an inclusive environment where diverse perspectives are celebrated. Key cultural pillars include:

• Heart at Work Behaviors: Empowerment, collaboration, innovation, and accountability guide daily actions.
• Well‑Being Programs: Access to mental‑health resources, virtual fitness classes, and wellness challenges.
• Community Impact: Employees are encouraged to volunteer in local health initiatives, with paid volunteer days.
• Recognition & Rewards: Regular peer‑to‑peer recognition, performance bonuses, and milestone celebrations.

Compensation, Perks & Benefits

arenaflex offers a competitive hourly wage ranging from $17.00 to $28.46, commensurate with experience, education, and geographic location. In addition to base pay, you will enjoy a comprehensive benefits package that includes:

• Medical, dental, and vision coverage with multiple plan options.
• 401(k) retirement savings plan with company match and an Employee Stock Purchase Plan.
• Fully‑paid term life insurance, short‑term and long‑term disability coverage.
• Generous paid time off (PTO), paid holidays, and sick leave in line with state regulations.
• Employee discount programs for arenaflex retail locations and partner brands.
• Education assistance, tuition reimbursement, and free development courses to support lifelong learning.
• Technology stipend for home office setup, including an ergonomic chair, headset, and a 6‑foot Ethernet cable.

How to Apply

If you are passionate about delivering exceptional service, thrive in a fast‑paced health‑care environment, and want to make a tangible difference in the lives of members and providers, we want to hear from you. Click the link below to create a candidate profile, upload your resume, and submit your application.

Apply Job!

Join arenaflex and Bring Your Heart to Health Care

At arenaflex, every conversation matters. By joining our Claims Inquiry team, you become a vital part of a mission‑driven organization that values empathy, expertise, and continuous improvement. Take the next step in your career—apply today and help us shape the future of health care, one call at a time.