Experienced Customer Service Representative – Provider Support – Remote Opportunity

At arenaflex, we're dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. As a leading healthcare organization, we're committed to making a positive impact on the lives of millions of people. If you're passionate about delivering exceptional customer service and making a difference in the healthcare industry, we invite you to join our team as an Experienced Customer Service Representative – Provider Support.

About arenaflex

arenaflex is a dynamic and innovative healthcare organization that's shaping the future of healthcare. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe in the power of diversity and inclusion, and we're committed to creating a workplace that's welcoming and inclusive for everyone. Our team is passionate about delivering exceptional customer service, and we're looking for talented individuals who share our vision.

Job Summary

As an Experienced Customer Service Representative – Provider Support, you'll play a critical role in supporting healthcare providers who care for our members. You'll be responsible for providing timely and accurate responses to questions and concerns related to benefits, eligibility, billing, clinical authorizations, and behavioral health. You'll work in a fast-paced, multi-channel environment, using your exceptional communication and problem-solving skills to resolve issues and provide excellent customer service.

Key Responsibilities

* Serve as the advocate for healthcare providers, demonstrating accountability and ownership to resolve issues

• Provide timely and accurate responses to questions and concerns related to benefits, eligibility, billing, clinical authorizations, and behavioral health
• Quickly and effectively triage contacts from healthcare professionals, identifying the needs of the provider and answering questions and resolving issues
• Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls/messages, escalations, and provider dissatisfaction
• Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
• Utilize self-service digital tools to assist providers with navigation questions and sell the benefits of the tool, including aiding in faster resolution
• Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types

Essential Qualifications

* High School Diploma/GED or equivalent work experience

• 1+ years of customer service experience with analyzing and solving customer concerns
• Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
• Ability to type at the speed of 35-40+ WPM with an accuracy of 90%
• Must be 18 years of age or older
• Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday

Preferred Qualifications

* Prior healthcare experience and knowledge of healthcare terminology

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools

Telecommuting Requirements

* Reside within Eastern, Central, or Mountain Time Zone

• Ability to keep all company-sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

* Ability to multi-task, including the ability to type in multiple conversations

• Ability to resolve calls and messages, avoiding escalated complaints
• Time management skills
• Emotional Intelligence and Empathy
• Active Listening and Comprehension
• Excellent written communication skills
• Demonstrated problem-solving, organization, and interpersonal skills
• Demonstrated experience consistently achieving quality and productivity standards

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a comprehensive training program, ongoing education and development opportunities, and a supportive work environment that encourages collaboration and innovation. Our team is passionate about delivering exceptional customer service, and we're looking for talented individuals who share our vision.

Work Environment and Company Culture

arenaflex is a dynamic and innovative healthcare organization that's shaping the future of healthcare. Our team is passionate about delivering exceptional customer service, and we're committed to creating a workplace that's welcoming and inclusive for everyone. Our work environment is fast-paced and challenging, but also rewarding and fulfilling. We offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off.

Compensation, Perks, and Benefits

arenaflex offers a competitive salary and benefits package, including:

• Competitive salary
• Comprehensive benefits package, including medical, dental, and vision insurance
• 401(k) plan
• Paid time off
• Ongoing education and development opportunities
• A supportive work environment that encourages collaboration and innovation

How to Apply

If you're passionate about delivering exceptional customer service and making a difference in the healthcare industry, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Equal Employment Opportunity

arenaflex is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Drug-Free Workplace

arenaflex is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Application Deadline

This job posting will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. Apply for this job