Experienced Customer Service Representative – Medicare Appeal Process Support

At arenaflex, we're dedicated to empowering better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're a team of passionate individuals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We're looking for a talented Customer Service Representative to join our growing team. As a key member of our team, you'll play a vital role in supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests. If you're passionate about delivering exceptional customer service and have a strong desire to make a meaningful impact in the healthcare industry, we encourage you to apply.

Job Summary:

The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests adhering to internal policies and procedures and utilizing working knowledge of the organization's services to meet productivity and quality standards.

Key Responsibilities:

* Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)

• Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes
• Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
• Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
• Interacts with hospitals, physicians, beneficiaries, or other program recipients
• Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party
• Meets or exceeds standards for call volume and service level per department guidelines
• Initiates files by collecting and entering demographic, provider, and procedure information into the system
• Serves as liaison between the Review Supervisors and external providers
• Maintains logs and documents disposition of incoming and outgoing calls

Requirements:

* High School diploma or equivalent

• 2+ year's customer service/telephone experience in a similar call center environment and/or industry
• Must have ability to effectively communicate with team members and external customers
• Must have ability to research and resolve issues related to Medicaid program and service eligibility
• Bilingual (Spanish/English)

Preferred Qualifications/Experience:

* Previous experience in the medical office or other medical setting preferred

• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred)
• Knowledge of CPT and HCPCS codes preferred
• PC proficiency to include Microsoft Office Suite
• Experience with Microsoft programs

Why Join arenaflex?

We're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We offer a dynamic and supportive work environment that fosters growth and development. Our team members are passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry. We're committed to providing our employees with the tools and encouragement they need to achieve the finest work of their career.

Benefits:

Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation:

The pay range for this position is $15.85 - $18.20. Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

Work-Life Balance:

As a remote employee, you'll have the flexibility to work from the comfort of your own home. We understand the importance of work-life balance and strive to provide a supportive and inclusive work environment that allows you to thrive both personally and professionally.

Career Growth Opportunities:

arenaflex is committed to providing our employees with opportunities for growth and development. We offer training and development programs, mentorship opportunities, and a clear path for career advancement. Our goal is to help you achieve your career goals and make a meaningful impact in the healthcare industry.

How to Apply:

If you're passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry, we encourage you to apply. Please visit our website at arenaflex.com/careers/ to submit your application. We look forward to hearing from you!

Equal Opportunity Employer:

arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Contact Us:

If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us. We're always happy to hear from you and look forward to connecting with you soon. Apply Job! Apply for this job