Concierge Customer Service Representative - Part Time

Join arenaflex, a dynamic and innovative organization, as we seek a highly skilled and compassionate Concierge Customer Service Representative to join our team on a part-time basis. As a key member of our customer service team, you will play a vital role in delivering exceptional service to our customers, providing support and guidance to help them navigate their healthcare needs. If you possess excellent communication skills, a strong work ethic, and a passion for delivering outstanding customer experiences, we encourage you to apply for this exciting opportunity.

About arenaflex

arenaflex is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals by delivering exceptional service, expertise, and support. We are committed to fostering a culture of collaboration, innovation, and continuous learning, and we are seeking like-minded individuals to join our team.

Job Summary

As a Concierge Customer Service Representative, you will be responsible for providing exceptional customer service to our members and providers, responding to inquiries, resolving issues, and negotiating with providers to gain acceptance for plans without network agreements and/or out of network providers. You will work closely with our internal teams to ensure seamless communication and collaboration, and you will be expected to maintain accurate records and documentation of all interactions.

Key Responsibilities

* Respond to telephone and email inquiries received from members and providers within defined service standards

• Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
• Assist members with benefits and healthcare questions
• Document all calls received in system-based call log
• Perform other duties and responsibilities as assigned by management

Requirements and Qualifications

* Minimum HS Diploma/GED, 2 years college or higher education preferred

• One year Customer Service/Call Center experience in a healthcare-related role
• Medical Intake or Third-Party Administrator (TPA) experience preferred
• Bilingual English-Spanish a plus
• Strong customer relations, interpersonal skills, and ability to handle difficult situations tactfully and diplomatically
• Strong appreciation and ability to handle confidential & sensitive information
• Proficient with Microsoft applications, strong computer skills and computer navigation
• Excellent data entry and typing skills
• Knowledge of provider organizations and networks
• Knowledge and understanding of CMS Medicare reimbursement rates
• Ability to effectively negotiate rate structures
• Takes initiative to resolve situations and to accomplish projects actions and tasks
• Excellent verbal and written communication skills
• Independent judgment in decision making and problem solving
• Ability to multi-task and anticipate potential needs/problems
• Ability to build relationships with internal and external customers
• Medical Terminology
• Strong attention to detail
• Understanding of Self-Funded health benefits a plus
• Claim processing skills a plus
• Insurance verification or pre-certification a plus
• Provider office/facility billing department or financial area
• Strong analytical and research skills

Work Environment and Physical Demands

This position is in a typical home office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment.

Compensation and Benefits

The salary range for this position is from $16 to $18 per hour. arenaflex offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

Why Join arenaflex?

* Opportunity to work with a dynamic and innovative organization

• Collaborative and supportive work environment
• Comprehensive benefits package
• Professional development and growth opportunities
• Flexible work arrangements, including remote work options
• Competitive salary and bonus structure

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer, including disability/veterans. We are committed to fostering a diverse and inclusive work environment, and we welcome applications from qualified candidates from all backgrounds. Apply for this job