Experienced Group Health Customer Service Representative – Remote Opportunity at arenaflex

Join arenaflex, a leading provider of innovative solutions in the healthcare industry, as we seek a highly motivated and customer-focused Group Health Customer Service Representative to join our team. At arenaflex, we pride ourselves on delivering exceptional customer experiences and providing top-notch support to our clients. As a Group Health Customer Service Representative, you will play a critical role in ensuring the smooth operation of our customer service department, handling a high volume of cases, and providing timely and accurate support to our clients.

About arenaflex

arenaflex is a fast-paced, Inc. 500 Company with a high-performance culture, dedicated to providing customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process. With over 200,000 insurance claims processed annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers, we are committed to delivering exceptional results and exceeding our clients' expectations.

Key Responsibilities

As a Group Health Customer Service Representative, you will be responsible for:

• Handling the receipt of new cases, including intake, review, and verification of information and requests
• Drafting cases by entering information into the arenaflex system, AccessDS
• Working with clients to obtain missing information pertinent to processing claims
• Sorting, organizing, and creating medical document listings, as required by clients and in line with specific special handling
• Oversight of cases, including monitoring, processing, and tracking to ensure timely completion
• Assignment of cases to physicians for review, based on location, reviewer availability, specific guidelines, jurisdictional requirements, and other client requirements
• Ensuring that assigned physicians have no conflict of interest with case assignments
• Client interaction, including frequent updates on cases in progress and communication regarding questions on referral information
• Ensuring proper documentation for specified cases is provided to clients

Special Skills and Attributes Required

This position involves substantial communication with clients and physicians/physicians' offices via phone and email, as well as constant computer work. Therefore, candidates must possess the following skills/experience:

• A minimum of 1 year of experience working in an administrative or clerical role in a business office environment
• Experience working in a healthcare (medical office, insurance claims, etc.) environment is preferred
• Excellent computer skills, including proficiency in Apple Operating System, Google Chrome search engine, and Gmail
• Stellar written and verbal communication skills, including a high comfort level in speaking with referring clients, claimants, and/or physicians
• Ability to maintain focus and attention to detail in a fast-paced environment
• Ability to manage multiple tasks and quickly changing priorities
• Excellent organizational skills

Required Education and Experience

An Associate's Degree is preferred.

Work from Home Technical Requirements

* Supply and support their own internet services

• Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions

Benefits

* Generous Paid Time Off

• Excellent benefits package
• Competitive salary
• Apple equipment and media stipend for remote work space
• Strong training program to ensure a seamless onboarding experience

Why Join arenaflex?

* Opportunity to work in a fast-paced, dynamic environment with a high-performance culture

• Chance to make a meaningful contribution to the healthcare industry
• Collaborative and supportive team environment
• Opportunities for career growth and professional development
• Comprehensive benefits package and competitive salary

How to Apply

If you believe you have what it takes to join our team as a Group Health Customer Service Representative, submit your application without delay. We are eager to hear from talented candidates like you. Apply To This Job Apply for this job