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Experienced Customer Service Representative – Medicaid and Medicare Support

Work from home Full-time role Hiring

At arenaflex, we're dedicated to transforming the healthcare industry with a human-centric approach. Our purpose is to bring heart to every moment of your health, and we're looking for passionate individuals to join our team. As a Customer Service Representative, you'll play a vital role in delivering exceptional experiences to our members and providers. If you're a self-motivated, customer-focused professional with a passion for healthcare, we encourage you to apply.

About arenaflex

arenaflex is a leading healthcare company that's committed to making healthcare more personal, convenient, and affordable. With a strong focus on innovation and customer satisfaction, we're constantly striving to improve the healthcare experience for our members and providers. Our Heart At Work Behaviors support our purpose and guide our actions, ensuring that every interaction with arenaflex is positive and memorable.

Job Summary

As a Customer Service Representative, you'll be responsible for providing telephone assistance to Aetna Medicaid members and providers. You'll assist with a range of inquiries, including eligibility, provider changes, and requests for ID cards. We're looking for someone who is passionate about delivering exceptional customer experiences and is comfortable working in a fast-paced, dynamic environment.

Responsibilities

* Answer incoming member and provider calls and respond to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs

  • Utilize high-speed internet connectivity with secure service via ethernet cable (Wi-Fi is not permitted)
  • Collaborate with colleagues to resolve complex issues and provide exceptional customer service
  • Meet performance standards, attendance requirements, and call quality goals
  • Work from home and be self-sufficient, with occasional commutes to the office in Richmond, VA when necessary
  • Participate in ongoing training and development to improve skills and knowledge

Requirements

* High school diploma or equivalent required

  • Ability to communicate effectively with members and providers orally and in written form
  • Strong customer service skills and ability to work in a fast-paced environment
  • Ability to meet performance standards, attendance requirements, and call quality goals
  • Must be able to work from home and be self-sufficient
  • Reliable high-speed internet connectivity with secure service via ethernet cable required

Preferred Qualifications

* Experience working remotely in a call center setting

  • Experience with Medicaid and Medicare
  • Strong knowledge of healthcare policies and procedures
  • Excellent communication and problem-solving skills

Training and Development

* Comprehensive training program to ensure success in the role

  • Ongoing training and development opportunities to improve skills and knowledge
  • Collaborative and supportive team environment

Benefits

* Competitive pay range: $17.00 - $27.90 per hour

  • Comprehensive benefits package, including medical, dental, and vision coverage
  • 401(k) retirement savings plan and Employee Stock Purchase Plan
  • Fully-paid term life insurance plan and short-term and long-term disability benefits
  • Paid Time Off (PTO) and paid holidays
  • Well-being programs, education assistance, and free development courses
  • CVS store discount and discount programs with participating partners

Work Environment

* Remote work opportunity with occasional commutes to the office in Richmond, VA

  • Collaborative and supportive team environment
  • Ongoing training and development opportunities
  • Flexible scheduling to meet the needs of the business

How to Apply

If you're a motivated and customer-focused professional with a passion for healthcare, we encourage you to apply. Please visit our website to learn more about the application process and to submit your resume and cover letter. We look forward to hearing from you! Apply Now! Apply for this job

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