Experienced Healthcare Customer Service Advocate – Remote Opportunity with arenaflex

Join arenaflex, a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide, as a Healthcare Customer Service Advocate. As a valued member of our team, you will play a crucial role in delivering exceptional customer service to our clients and their members, ensuring their satisfaction on calls. With a solid understanding of healthcare claims, benefits, and policy process flows, you will be responsible for accurately and efficiently reading and relaying information to members.

About arenaflex

arenaflex is a mission-critical partner to healthcare plans nationwide, providing claims processing services, including digital transformation, claims adjudication, and member and provider engagement services. With a strong commitment to excellence, we strive to enhance engagement and satisfaction with plans members and providers. Our innovative workflow technology platform, JetStreamTM, helps with traceability, governance, and automation of claims operations for our clients.

Job Type and Schedule

This is a full-time, 100% remote position with a flexible schedule from Monday to Friday, 11:00am to 8:00pm EST | 10:00am - 7:00pm CT. As a remote employee, you will have the opportunity to work from the comfort of your own home, with the flexibility to manage your work-life balance.

Compensation and Benefits

We offer a competitive hourly rate of $16.00 - $18.00 per hour, depending on experience. Our comprehensive benefits package includes:

• Paid training period
• Medical, Dental, Life, Vision, HSA, 401K
• Paid Holidays
• PTO
• Equipment provided

Key Responsibilities

As a Healthcare Customer Service Advocate, you will be responsible for:

• Member and Provider Support: Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.
• Application Processing: Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
• Data Entry and Management: Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
• Multitasking: Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
• Quality Assurance: Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
• Collaboration: Coordinate with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
• Process Improvement: Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.

Job Description

As a Healthcare Customer Service Advocate, you will be responsible for handling customer service inbound calls, providing information on the status of authorization requests, and maintaining a high level of professionalism and customer service in all interactions. You will also be responsible for:

• Handling requests to re-fax authorization documents as needed
• Addressing and managing re-direct requests
• Maintaining accurate documentation of call interactions and outcomes in the appropriate systems
• Ensuring compliance with all relevant regulations and guidelines

Qualifications

To be successful in this role, you will need:

• High School Diploma or General Education Degree (GED) required
• At least 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field
• Healthcare Medical Terminology
• 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
• Must be able to clear a background check

Other Qualifications

We are looking for individuals with:

• 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

Work from Home Requirements

As a remote employee, you will be required to:

• Have high-speed internet of 25MBPS download and 5MBPS upload
• Provide proof of a speed test
• Directly hardwire equipment to your modem
• Have a quiet dedicated work area

Equal Employment Opportunity

arenaflex provides equal employment opportunities to all employees and applicants for employment 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.

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional service, please apply to this job by visiting our website at [insert link]. We look forward to hearing from you! Apply for this job