Job Description
Introduction to arenaflex arenaflex is a rapidly growing national quality improvement and care management organization dedicated to ensuring that millions of people receive the right care, at the right time, in the right setting. We are mission-driven to improve lives through healthcare quality and clinical expertise, and we do this through our people. At arenaflex, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and provides the training and support to do the best work of your career.
About the Role We are seeking an experienced Customer Service Representative to provide all customer service support for our Review Team. As a Customer Service Representative at arenaflex, you will be responsible for interacting with beneficiaries and providers via the helpline, creating, formatting, and proofreading letters, as well as maintaining timeliness. This position requires a great deal of decision-making in regard to different types of complex appeals. If you are motivated, energetic, and excited to become part of a team that values customer service and helping the community, we encourage you to apply.
Key Responsibilities Responsible for typing/merging, proofing for clarity, printing, and mailing correspondence. Communicate verbally and in writing with external customers to furnish and request review information. Foster effective working relationships between arenaflex's internal and external customers. Assist with and participate in the Review Team in identifying areas for potential improvement, as noted on case reviews and process. Answer the Beneficiary Helpline through the utilization of the hunt group and available light functions.
Determine how to best assist callers either by a service offered by arenaflex or by referring them to an external agency and properly enter referral into the CMS system. Ensure all letters are sent out in a timely manner with correct components included and reviewed for grammatical and spacing errors. Get and validate notices and all components of medical records. Provide intake for all appeals received by arenaflex. Utilize internal quality control tools to assess individual work and team processes.
Essential Qualifications To be successful in this role, you will need: High school diploma or equivalent. Post-high school business courses helpful. Medical terminology desired. Excellent verbal communication skills, courteous and patient demeanor, must be customer-oriented and have the ability to maintain composure under potentially stressful situations. Good grammar, punctuation, spelling, hyphenation, and written communications skills. Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers.
Must be flexible and able to work as a team member and support team decisions. General knowledge of a PC-based computer system desirable. Knowledge of various software packages with the ability to learn additional software packages as needed. Must be able to multi-task and prioritize assignments. Must have good organizational skills and be able to work independently. Preferred Qualifications While not required, the following qualifications are preferred: Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities.
Prior work in a healthcare setting or medical terminology recommended. Previous data entry or other clerical experience is a plus. Career Growth and Learning Benefits At arenaflex, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to training and support to help you succeed in your role and advance your career. You will also have the opportunity to work with a talented team of professionals who are passionate about improving the lives of others.
Work Environment and Company Culture arenaflex is a people-focused organization that values its employees and provides a supportive and inclusive work environment. We offer a range of benefits, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, and corporate discounts. Our company culture is built on a foundation of respect, empathy, and a commitment to excellence. Compensation, Perks, and Benefits As a Customer Service Representative at arenaflex, you will receive a competitive salary and a range of benefits, including: Fully remote position, with the ability to work from home.
Full benefits, including medical, dental, vision, and more, effective the first month following your hire date. Paid time off for a great work-life balance. 401k with match and no vesting period. Conclusion If you are a motivated and customer-focused individual who is passionate about helping others, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at arenaflex, you will have the chance to make a real difference in the lives of others and advance your career in a supportive and inclusive environment.
Don't miss out on this opportunity to join a talented team of professionals who are dedicated to improving the lives of others. and take the first step towards a rewarding and challenging career with arenaflex.