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Experienced Provider Customer Service Call and Chat Representative – Telecommute Opportunity in Dublin, OH

Work from home Full-time role Hiring

At arenaflex, we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people... for the better. Come build the healthcare system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work.

About arenaflex

arenaflex is a leading healthcare company dedicated to providing innovative solutions to improve the lives of our members. We're committed to creating a healthier atmosphere by fostering diversity, equity, and inclusion in everything we do. Our mission is to help people live healthier lives and make the health system work better for everyone.

Job Summary

We're seeking an experienced Provider Customer Service Call and Chat Representative to join our team in Dublin, OH. As a telecommuter, you'll have the flexibility to work from home while providing exceptional service to our healthcare providers. If you're passionate about delivering top-notch customer service, resolving complex issues, and making a meaningful impact in the healthcare industry, we want to hear from you.

Primary Responsibilities

As a Provider Customer Service Call and Chat Representative, you'll be responsible for:

  • Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues
  • Providing service to providers in a multi-channel environment, including call and concurrent chat
  • Quickly and appropriately triaging contacts from healthcare professionals, such as physician offices, clinics, and billing offices
  • Seeking to understand and identify the needs of the provider, answering questions, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health
  • Researching and dissecting complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls/messages, escalations, and provider dissatisfaction
  • Collaborating effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
  • Multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types
  • Influencing providers to utilize self-service digital tools, assisting with navigation questions, and selling the benefits of the tool, including aiding in faster resolution

Required Qualifications

* High School Diploma/GED or equivalent work experience

  • Must be 18 years of age or older
  • 1 year of customer service experience with analyzing and solving customer concerns
  • Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
  • Ability to type at the speed of greater than or equal to 35-40 WPM (words per minute) with an accuracy of 90%
  • Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 11:35 AM - 8:05 PM EST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime, weekends, and/or some holidays.

Preferred Qualifications

* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools

  • Prior healthcare experience and knowledge of healthcare terminology

Telecommuting Requirements

* Reside within a 60-mile commutable distance of 5900 Parkwood Place, Dublin, OH, 43016

  • Ability to keep all company-sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

* Ability to multi-task, including the ability to type in multiple conversations

  • Ability to resolve calls and messages, avoiding escalated complaints
  • Time management skills
  • Emotional Intelligence and Empathy
  • Active Listening and Comprehension
  • Excellent written communication skills
  • Demonstrated problem-solving, organization, and interpersonal skills
  • Demonstrated experience with consistently achieving quality and productivity standards

What We Offer

* 10 weeks of paid on-the-job training

  • Flexible telecommuting options
  • Competitive compensation and benefits package
  • Opportunities for career growth and professional development
  • Collaborative and dynamic work environment
  • Recognition and rewards for outstanding performance

Why Join arenaflex?

At arenaflex, we're committed to creating a healthier atmosphere by fostering diversity, equity, and inclusion in everything we do. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life. Join us in our mission to make a meaningful impact in the healthcare industry and start doing your life's best work.

How to Apply

If you're passionate about delivering exceptional customer service and making a difference in the healthcare industry, we want to hear from you. Apply now to join our team as a Provider Customer Service Call and Chat Representative. Apply Job! Apply for this job

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