Experienced Customer Service Representative – Remote Opportunity to Serve the Nation's Military and Families

At arenaflex, we pride ourselves on creating a culture that empowers our employees to make a meaningful impact in the lives of those we serve. Our mission is to provide exceptional customer service to the nation's military, veterans, Guard, and Reserves, as well as their families. We are committed to fostering an inclusive and supportive work environment that encourages growth, learning, and innovation. As a Customer Service Representative at arenaflex, you will play a vital role in delivering top-notch service to our beneficiaries, providers, and other affiliated representatives or groups. You will be the face of our organization, providing timely, accurate answers to inquiries regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.

In This Role, You Will:

* Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.

• Apply appropriate provisions of TRICARE regulations, interpretations, and procedural directives in making determinations on eligibility and benefits to determine appropriate responses to inquiries.
• Obtain and analyze claims data to determine specific problem areas, including external communication to obtain data.
• Complete research and provide final resolution to inquiries within contractual requirements.
• Communicate with inquirers to determine appropriate authorization or referral of services.
• Submit claims for adjudication, correction, payment, or review as appropriate.
• Educate providers on billing requirements of TRICARE to reduce claim problems.
• Deal tactfully with people in a wide variety of situations to convey a favorable corporate image.
• Respond to inquirers using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards.
• Collect and record data for Customer Service records and computer analysis.
• Inform supervisory staff of system problems when identified, researching problems to provide backup data and examples when needed.

How Do I Know This Opportunity is Right for Me?

If you:

• Enjoy working in a high-volume call center environment
• Excel at providing timely, accurate answers via telephone by employing strong listening skills
• Enjoy new challenges and approach each day with a positive attitude
• Demonstrate a strong work ethic with a history of dependability and respect
• Possess excellent information retention capabilities
• Thrive in an environment that offers opportunities for continuous learning

What Will I Gain from This Role?

* Gaining experience working in a call center environment

• Having the ability to work remotely from home
• Building in-depth communication and customer service skills
• Being a part of a fun, supportive team that offers great advancement opportunities throughout the organization
• Working in an environment that serves our nation's military, veterans, Guard, and Reserves, as well as their families

Minimum Qualifications:

* U.S. citizenship is required for this position due to Department of Defense restrictions

• High school diploma or equivalent

Preferred Qualifications:

* 2 or more years of experience in customer service

• Ability to learn medical and insurance terminology
• Microsoft Office Experience
• Ability to navigate dual monitor screens and between multiple programs at once
• Strong skillsets in multi-tasking, research, and problem-solving

Why Choose arenaflex?

At arenaflex, we offer a unique opportunity to make a difference in the lives of those we serve. Our organization is committed to fostering a culture of inclusivity, respect, and empowerment. We believe in investing in our employees' growth and development, providing opportunities for continuous learning and advancement.

What We Offer:

* Competitive compensation and benefits package

• Opportunity to work remotely from home
• Fun and supportive team environment
• Great advancement opportunities throughout the organization
• Chance to make a meaningful impact in the lives of those we serve

How to Apply:

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at arenaflex. Apply for this job