Experienced Customer Service Representative - Remote Healthcare Specialist

At arenaflex, we're dedicated to revolutionizing the healthcare industry by providing innovative solutions that empower payors, providers, and patients alike. As a leading company in healthcare utilization and care management, we're committed to fostering a collaborative, non-denial based approach that drives positive change. Our team of healthcare professionals is passionate about making a difference every day, and we're seeking like-minded individuals to join our ranks.

About arenaflex

arenaflex is a global Business Process Management (BPM) leader, offering business value to 400+ clients across various industry verticals. With a strong presence in the healthcare industry, we're proud to provide specialty benefits management services that cater to the needs of patients and providers. Our innovative approach, combined with our expertise in evidence-based solutions and second opinions, sets us apart in the industry.

Job Description

We're seeking an experienced Customer Service Representative to join our remote team. As a key member of our Clinical Review Department, you'll play a vital role in delivering exceptional customer service to providers, administrative staff, and patients. Your primary responsibilities will include:

• Conducting administrative intake and scripted clinical intake of calls for clinical review
• Providing quality customer service through interaction with providers, administrative staff, and others
• Building and maintaining customer satisfaction with products and services; providing excellent service to internal and external customers
• Collecting and entering confidential information, ensuring the highest level of confidentiality in all areas
• Maintaining high-quality documentation standards when collecting and performing data entry functions
• Providing ongoing telephonic support to providers and office staff related to arenaflex's Clinical Review process
• Providing administrative support to the Clinical Review Department as needed
• Participating and understanding the scope of responsibility pertaining to ongoing Quality Initiative Projects
• Maintaining acceptable levels of performance for all Key Performance Indicators (KPIs), such as Average Talk Time (ATT), Quality, and adherence to schedule
• Participating in the arenaflex Quality Management Program as required
• Adhering to all HIPAA, state, and federal regulations pertaining to the clinical programs
• Adhering to both URAC & NCQA standards in keeping with arenaflex's compliance initiatives
• Carrying out other projects and responsibilities as assigned

Qualifications

To be successful in this role, you'll need:

• A High School Diploma/GED
• At least 1 year of customer service experience
• Ability to hard line internet into computer equipment provided
• Internet upload speed of 5 mbps and download of 25 mbps (verified at onboarding)
• HIPAA compliant room (verified at onboarding)
• Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.) is preferable
• Ability to read clinical terminology with high levels of proficiency
• Ability to work efficiently in a fast-paced, high-call-volume, performance-driven Contact Center
• MS Outlook and Windows proficiency
• Ability to work on dual monitors and navigate multiple software applications simultaneously
• Strong time management skills
• Ability to adhere to a strict schedule with the ability to adapt to schedule changes
• Highly skilled at delivering client and customer satisfaction
• Strong verbal and written communication skills

Why Join arenaflex?

As a valued member of our team, you'll enjoy:

• A dynamic and supportive work environment that fosters growth and development
• Opportunities for career advancement and professional growth
• A comprehensive benefits package, including medical, dental, and vision coverage
• A generous paid time off policy, including vacation and sick leave
• Access to ongoing training and development programs
• A collaborative and inclusive company culture that values diversity and inclusion
• The opportunity to work with a leading company in the healthcare industry

How to Apply

If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your qualifications and experience. We can't wait to hear from you!

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity and promotes equal opportunities for all employees.

Apply Now

To apply for this role, please click on the link below: Apply Job! For more information about arenaflex and our job opportunities, please visit our website: arenaflex Careers Apply for this job