Government Programs Customer Service Representative – Remote Opportunity at arenaflex

At arenaflex, we're dedicated to improving oral health through innovative benefit plans, advocacy, and community support. As a leading dental plan administrator, we're part of the arenaflex Plans Association, which operates two of the largest dental networks in the nation. Our mission is to build healthy, smart, vibrant communities for all, and we're seeking a talented Government Programs Customer Service Representative to join our team.

About arenaflex

arenaflex is a dental benefits leader with over 60 years of experience in the industry. We're proud to offer a comprehensive benefits package, a supportive work environment, and opportunities for career growth and development. Our employees embody our "All In" culture, which is built on a mindset, feeling, and attitude that drives us to take charge of our careers, help our colleagues, and make a positive impact in our communities.

Job Summary

As a Government Programs Customer Service Representative, you'll play a critical role in delivering exceptional customer service to our members, clients, and providers. You'll respond to inquiries, resolve issues, and provide accurate information related to eligibility, benefits, claims, and payment. Your excellent communication skills, attention to detail, and ability to work in a fast-paced environment will make you a valuable asset to our team.

Key Responsibilities

* Respond to member, client, and provider inquiries through multiple channels, including phone, email, fax, and U.S. mail, using proper etiquette, grammar, and punctuation.

• Clearly and accurately communicate eligibility, benefit, claim status, and payment information related to caller's questions.
• Properly identify the reason(s) for the call and provide appropriate resolution to inquiries and complaints within specified timeframes and guidelines established by regulatory agencies or client contracts.
• Inform and assist callers with grievance and claims appeals processes, as necessary.
• Clearly, accurately, and thoroughly document information in the customer relationship management system to ensure all relevant details of the phone call are captured.
• Understand the importance of adhering to regulatory requirements.
• Meet or exceed quality standards as required for the position.
• Meet or exceed call center metrics as required for the position.
• Enter and adjust claims as required.

Minimum Requirements

* High school diploma or equivalent required; associate's degree in business administration or a related field preferred.

• Two years of customer service experience in a business environment that requires the use of a software application to assist customers, preferably in a call center assisting Medicare and/or Medicaid enrollees.
• Demonstrated knowledge of personal computers and software applications (including Windows) through previous experience and/or coursework.
• Successful completion of the customer service simulation assessment with a minimum score of 62 out of a possible 100 (assessment waived if candidate previously passed test while at arenaflex or if previously held Customer Service Trainee, Customer Service Advisor, or Customer Service Associate position).
• Successful completion of the customer service multitasking and call logging assessment with a minimum score of 65 out of a possible 100.
• Successful completion of the customer service email composition assessment with a minimum score of 62 out of a possible 100.

Work Environment and Culture

* arenaflex is a fully remote work environment, allowing you to work from the comfort of your own home.

• Our "All In" culture is built on a mindset, feeling, and attitude that drives us to take charge of our careers, help our colleagues, and make a positive impact in our communities.
• We celebrate diverse thought, encourage innovation, and empower employees to take charge of their careers.
• Our comprehensive benefits package includes medical, dental, and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flex spending accounts, and tuition reimbursement or educational assistance.
• Employees are eligible for annual incentive compensation based on annual business goals.
• We offer eight hours of paid volunteer time each year, plus access to an on-staff health coach and personal trainer, virtual lunchtime workouts hosted by the trainer, and/or an on-site fitness center.

Compensation and Benefits

* arenaflex offers a competitive salary and benefits package, including medical, dental, and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flex spending accounts, and tuition reimbursement or educational assistance.

• Employees are eligible for annual incentive compensation based on annual business goals.
• We offer eight hours of paid volunteer time each year, plus access to an on-staff health coach and personal trainer, virtual lunchtime workouts hosted by the trainer, and/or an on-site fitness center.

How to Apply

If you're a motivated and customer-focused individual who is passionate about improving oral health and making a positive impact in our communities, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at arenaflex. Apply Job! Apply for this job