Experienced Provider Customer Service Call and Chat Representative – Healthcare Industry Expertise
At arenaflex, we are dedicated to simplifying the healthcare experience and creating healthier communities. As a Provider Customer Services 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 working full-time, 40 hours a week, from Monday to Friday, with the flexibility to telecommute if you are located within the Central or Mountain Time Zone.
About arenaflex
arenaflex is a leading healthcare organization that is committed to delivering high-quality services to our members. We believe in creating a culture of excellence, where our employees are empowered to make a difference in the lives of our members. Our mission is to simplify the healthcare experience and create healthier communities, and we are looking for talented individuals like you to join our team.
Responsibilities
As a Provider Customer Services 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 (e.g., 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. - Demonstrating strong multitasking skills 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. - 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. - The ability to type at the speed of greater than or equal to 35 - 40+ WPM with an accuracy of 90%. - Must be 18 years of age or older. - Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday.
Nice-to-haves
- Prior healthcare experience and knowledge of healthcare terminology. - Experience in a related environment (e.g., office, call center, customer service, etc.), using phones and computers as the primary job tools.
Benefits
As a Provider Customer Services Call and Chat Representative at arenaflex, you will enjoy a comprehensive benefits package, including: - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution - Paid training for 14 weeks
Career Growth Opportunities
arenaflex is committed to the growth and development of our employees. As a Provider Customer Services Call and Chat Representative, you will have opportunities to develop your skills and advance your career in a variety of roles. Our company culture values employee growth and development, and we offer a range of training and development programs to support your success.
Work Environment and Company Culture
arenaflex is a dynamic and fast-paced organization that values teamwork, innovation, and customer satisfaction. Our work environment is collaborative and supportive, with a focus on delivering high-quality services to our members. We are committed to creating a culture of excellence, where our employees are empowered to make a difference in the lives of our members.
Compensation, Perks, and Benefits
arenaflex offers a competitive compensation package, including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution, and paid training for 14 weeks. Our company culture values work-life balance, and we offer flexible work arrangements to support your needs.
Conclusion
If you are a motivated and customer-focused individual who is passionate about delivering high-quality services to our members, we encourage you to apply for the Provider Customer Services Call and Chat Representative role at arenaflex. As a member of our team, you will have the opportunity to make a difference in the lives of our members and advance your career in a dynamic and fast-paced organization. Apply now to join our team and be part of our mission to simplify the healthcare experience and create healthier communities. Apply for this job