Experienced Customer Service Representative – Delivering Exceptional Experiences at arenaflex
At arenaflex, we're passionate about creating a workplace where talented individuals can thrive and make a meaningful impact. As a leading organization in the industry, we're committed to providing our customers with exceptional experiences that exceed their expectations. We're now seeking an experienced Customer Service Representative to join our team and help us achieve this goal.
About arenaflex
arenaflex is a dynamic and forward-thinking organization that's dedicated to delivering innovative solutions to our customers. With a strong presence in the industry, we've established a reputation for excellence and a commitment to excellence. Our team is comprised of talented individuals who share our passion for delivering exceptional experiences and making a positive impact.
About the Role
As a Customer Service Representative at arenaflex, you'll play a critical role in delivering exceptional experiences to our customers. You'll be working directly with customers to answer general inquiries, address concerns, and assist with requests about products and services across multiple lines of business. Your primary responsibility will be to project a professional company image and provide superior customer service while working with customers through any of the customer contact channels.
Responsibilities
Your day-to-day will involve:
- Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments)
- Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information
- Thoroughly and completely documenting all customer interactions
- Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations
- Educating on the usage and benefits of self-service tools
- Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist
- Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role
- Responding to customer inquiries in a courteous and professional manner
- Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions
- Responding to and resolving internal and external complex customer inquiries
- Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken
- Taking ownership of the resolution and setting expectation for follow up
- Ensuring resubmissions, stop payments, and voids are appropriately handled
- Meeting or exceeding individual, department, and client specific goals
- Understanding and adhering to all client administrative and contractual policies and procedures
- Suggesting ways to improve the service delivery processes contributing to the success of the organization
- Other duties as assigned
Qualifications
Some things we consider critical for this role:
- High School Diploma or Equivalent
- 2 years experience in a high volume customer service environment
- Experience in healthcare or related industry experience preferred
- Ability to multi-task using multiple applications simultaneously
- Ability to set-up computer equipment and troubleshoot issues with minimal assistance
- Professional verbal and written communication skills
- Ability to operate a computer and knowledge of Microsoft Office applications
- Strong organizational skills and attention to detail
- Ability to work independently and with a team
- Cooperative, professional and effective interaction skills
- Critical thinking and problem solving skills
- Ability to tolerate repetitive work without compromising accuracy and service levels
- Attend additional training as requested / deemed necessary
Preferred
* Medical / Dental terminology knowledge experience
- Medicare / Medicaid knowledge
- Claims / Billing and coding experience
arenaflex Benefits
* Medical, Dental, and Vision insurance
- 401(k) Retirement Savings Plan
- Paid Time Off
- Paid T-Mobile cell service
- $500.00 Employee referral program
- Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)
Why Join arenaflex?
At arenaflex, we're committed to creating a workplace where our employees can grow and thrive. We offer a range of benefits and opportunities that will help you achieve your career goals and improve your overall well-being. Our team is passionate about delivering exceptional experiences, and we're looking for talented individuals who share our vision.
Ready for an Easy Start?
This is a low-stress role with great rewards. If you're reliable and willing to learn, we want you. Apply now and join our team of dedicated professionals who are passionate about delivering exceptional experiences.
Apply Now
Apply To This Job Apply for this job