Experienced Customer Service Representative – Health Insurance and Medicaid Administration

At arenaflex, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.

Job Summary:

We're seeking an experienced Customer Service Representative to join our team at arenaflex. As the face of our organization, you will impact members' service experience by handling customer service inquiries and problems via telephone, internet, or written correspondence. You will engage, consult, and educate members based on their unique needs, preferences, and understanding of our plans, tools, and resources to help guide them along a clear path to care.

Key Responsibilities:

- Handle customer inquiries and resolve issues based on phone calls, letters, and other correspondence from members, providers, and other departments. - Triages resulting rework to appropriate staff and documents and tracks contacts with members, providers, and plan sponsors. - Guides members through their plan of benefits, arenaflex policy, and procedures, as well as having knowledge of resources to comply with regulatory guidelines. - Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health. - Anticipates customer needs and provides related information to answer unasked questions, such as additional plan details, benefit plan details, and member self-service tools. - Explains members' rights and responsibilities in accordance with contract.

Essential Qualifications:

- High School diploma or equivalent. - Customer service experience in a transaction-based environment, such as a call center or retail location, with the ability to be empathetic and compassionate. - Experience in a production environment. - Ability to multi-task to accomplish workload efficiently. - Understanding of medical terminology. - Oral and written communication skills. - Ability to maintain accuracy and production standards. - Problem-solving skills. - Attention to detail and accuracy. - Analytical skills.

Preferred Qualifications:

- Ability to reside within a 50-mile radius of New Albany, OH. - Ability to work onsite in the event of an outage. - Experience in a call center or retail environment. - Ability to work in a fast-paced environment with multiple priorities.

Work Environment and Company Culture:

At arenaflex, we value our employees and strive to create a workplace where every colleague feels valued and that they belong. Our teams reflect the customers, patients, members, and communities we serve, and we are committed to fostering a workplace where every colleague feels empowered to make a difference.

Great Benefits for Great People:

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional, and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options. - A 401(k) plan (including matching company contributions). - An employee stock purchase plan. - No-cost programs for all colleagues, including wellness screenings, tobacco cessation, and weight management programs, confidential counseling, and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues, including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility.

Career Growth Opportunities and Learning Benefits:

At arenaflex, we believe in investing in our employees' growth and development. We offer a range of training programs, mentorship opportunities, and career advancement possibilities to help you achieve your career goals.

Compensation and Perks:

The typical pay range for this role is $17.00 - $25.65 per hour. The actual base salary offer will depend on a variety of factors, including experience, education, geography, and other relevant factors.

How to Apply:

If you're passionate about transforming health care and making a difference in the lives of our members, we encourage you to apply for this exciting opportunity. Please visit our website at [insert website URL] to learn more about this role and to submit your application.

Equal Employment Opportunity:

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.

Application Deadline:

The application window for this opening will close on 03/28/2025. We look forward to hearing from you and exploring how you can join our team at arenaflex. Apply for this job