Experienced Healthcare Customer Service Representative – Remote Opportunity in Georgia

Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Do you have a strong background in healthcare and a knack for multitasking? If so, aren'taflex is seeking a highly skilled and dedicated Customer Service Representative to join our team in Georgia.

About arenaflex

arenaflex is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. With a strong commitment to excellence and a passion for innovation, we strive to enhance engagement and satisfaction with plans' members and providers. Our cutting-edge workflow technology platform, JetStreamTM, helps us stay ahead of the curve in claims operations and data management.

The Role

As a Customer Service Representative at arenaflex, you will play a vital role in providing exceptional customer service to our clients and their members. Your primary responsibilities will include:

• Managing inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy
• Providing information on membership options, benefits, and account status on behalf of our clients
• Reviewing, verifying, and processing membership applications efficiently, ensuring completeness and accuracy of all required information
• Maintaining and updating member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts
• Handling multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality
• Performing regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies
• Collaborating with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients
• Continuously identifying opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency

Key Responsibilities

* Handle Inbound Calls: + Receive and respond to calls primarily from members, providers, and occasionally other health plans + Provide information on the status of authorization requests, including both inpatient and outpatient services

• Authorization Management:

+ Address and manage re-direct requests + Handle requests to re-fax authorization documents as needed

• Extensive Claims Denial:

+ Deep understanding and description of claims and claims denials

• Lines of Business:

+ General Membership, Health Plan Providers, ETC.

• Documentation and Compliance:

+ Accurately document call interactions and outcomes in the appropriate systems + Ensure compliance with all relevant regulations and guidelines

• Customer Service:

+ Maintain a high level of professionalism and customer service in all interactions + Resolve issues promptly and effectively, ensuring customer satisfaction

Qualifications

* Educational Background: High school diploma or equivalent

• Technical Skills:

+ Proficiency in Microsoft Office Suite (Word, Excel, Outlook) + Experience with CRM systems or membership databases + Strong typing and data entry skills, with the ability to manage multiple systems simultaneously

• Other Qualifications:

+ Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency + Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment + Communication Skills: Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members + Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively + Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with arenaflex's commitment to excellence

What We Offer

* Genuine work/life balance - a predictable schedule

• Paid training period
• Medical, Dental, Life, Vision, HSA, 401K
• PTO
• Opportunities for career growth and professional development
• Collaborative and dynamic work environment
• Recognition and rewards for outstanding performance

Work Environment and Culture

arenaflex is committed to creating a positive and inclusive work environment that values diversity, equity, and inclusion. Our team is passionate about delivering exceptional customer service and making a meaningful impact on people's lives. We believe in fostering a culture of innovation, collaboration, and continuous learning, and we're excited to welcome talented individuals like you to our team.

Compensation and Benefits

* Salary: $17.00 - $19.00 per hour

• Benefits: Medical, Dental, Life, Vision, HSA, 401K, PTO, and more

How to Apply

If you're a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we'll be in touch to discuss your qualifications further.

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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