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

At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As a Provider Customer Service Call and Chat Representative, you will play a crucial role in supporting providers who care for our members. This position involves responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. You will be part of a full-time team working 40 hours a week, Monday through Friday, with shifts scheduled during our normal business hours of 11:35 AM to 8:05 PM EST. Given the nature of the business, there may be occasional overtime, weekend, and holiday work required, especially during peak seasons.

About arenaflex

arenaflex is a leading health care organization that is committed to making a positive impact on the lives of our members and providers. We believe in creating a supportive and inclusive work environment that fosters growth and development. Our team is passionate about delivering exceptional customer service and making a difference in the health care system.

Responsibilities

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

• Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues.
• Serving providers in a multi-channel environment including call and concurrent chat as required.
• Quickly and appropriately triaging contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
• Seeking to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
• Researching and dissecting complex prior authorization and claim issues and taking appropriate steps to resolve identified issues to 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.
• Strong 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.

Requirements

To be successful in this role, you will need:

• A High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 1+ years of customer service experience with analyzing and solving customer's concerns.
• Experience with computer and Windows PC applications, which includes 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.

Nice-to-haves

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

• Prior health care experience and knowledge of healthcare terminology.

Benefits

As a Provider Customer Service Call and Chat Representative, you will enjoy:

• 10 weeks of paid on-the-job training.
• Flexible telecommuting options for those within a 60-mile commutable distance.
• Opportunities for career development and advancement within the organization.

Work Environment and Company Culture

As a telecommuter, you will need to adhere to arenaflex's Telecommuter Policy, which includes maintaining a dedicated workspace and ensuring the security of sensitive company documents. Our company culture is built on a foundation of collaboration, innovation, and customer-centricity. We are committed to creating a supportive and inclusive work environment that fosters growth and development.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including a salary range of $40,000 - $60,000 per year, depending on experience. You will also enjoy a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) retirement plan. Additionally, you will have access to flexible telecommuting options, opportunities for career development and advancement, and a comprehensive paid time off (PTO) policy.

Career Growth Opportunities and Learning Benefits

arenaflex is committed to providing opportunities for career growth and development. As a Provider Customer Service Call and Chat Representative, you will have access to:

• Comprehensive on-the-job training program.
• Opportunities for career advancement within the organization.
• Access to training and development programs to enhance your skills and knowledge.
• Collaborative and supportive work environment that fosters growth and development.

How to Apply

If you are a motivated and customer-focused individual who is passionate about making a difference in the health care system, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, through our website. We look forward to hearing from you!

Contact Information

If you have any questions or would like to learn more about this opportunity, please contact our HR department at [insert contact information]. We look forward to hearing from you!

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a supportive and inclusive work environment that fosters growth and development. Apply for this job