Experienced Absence Management Customer Service Representative - Remote Opportunity

Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a dynamic environment where no two calls are ever the same? Look no further! arenaflex is seeking an experienced Absence Management Customer Service Representative to join our team of passionate individuals working together to pursue the most effective solutions to today's complex healthcare challenges.

About arenaflex

arenaflex is a rapidly expanding national organization dedicated to quality improvement and care management, ensuring millions receive the right care at the right time and in the right setting. Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. Our culture is fueled by passion and driven by purpose.

Job Overview

As an Absence Management Customer Service Representative, you will play a pivotal role in supporting the prior authorization process. This role involves handling incoming calls, resolving customer inquiries, complaints, and requests. The ideal candidate will adhere to internal policies and procedures while utilizing their in-depth understanding of our organization's services to maintain high productivity and quality standards.

Key Responsibilities

* Maintain a comprehensive understanding of internal policies, procedures, and services.

• Use internal systems for logging and retrieving information, ensuring accurate and timely data entry.
• Respond to inquiries from customers or providers through various channels such as telephone, email, fax, or mail within specified turnaround times.
• Address telephone inquiries and complaints promptly, accurately, and courteously, following established procedures.
• Engage with hospitals, physicians, beneficiaries, and other program recipients.
• Investigate, resolve, or escalate customer problems as needed.
• Meet or exceed call volume and service level standards as per departmental guidelines.
• Initiate files by collecting and entering demographic, provider, and procedure information into the system.
• Act as a liaison between Review Supervisors and external providers.
• Maintain detailed logs and documentation of incoming and outgoing calls.

Essential Qualifications

* Minimum of 2 years of customer service/telephone experience in a call center environment or related industry.

• Proficiency in spoken English to effectively communicate over the telephone.
• Excellent verbal and listening skills, delivering courteous and professional customer service.
• Strong PC skills including electronic mail, intranet usage, and standard applications.
• Ease in navigating electronic equipment and systems while multitasking on a computer during telephone conversations.
• Ability to research, investigate, and maintain composure while handling difficult calls.
• Adherence to confidentiality policies and procedures.
• High School diploma or equivalent

Preferred Qualifications

* Completion of medical terminology course(s).

• Knowledge of medical terminology and/or experience in the health insurance industry.
• Bilingual proficiency in Spanish and English.

Why Join arenaflex?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The compensation for this role is $17.00 to $19.00 per hour to start. Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

Career Growth Opportunities

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.

Work Environment and Company Culture

Our remote work environment allows you to work from the comfort of your own home, with the flexibility to balance your work and personal life. Our company culture is built on a foundation of collaboration, innovation, and mutual respect. We value diversity, equity, and inclusion, and strive to create a workplace where everyone feels welcome and empowered to contribute.

How to Apply

If you believe you have what it takes to join our team, submit your application without delay. We are keen to hear from talented candidates like you. Apply To This Job

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Apply for this job