Experienced Customer Service Representative – Medicare Appeal Process Support

Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a dynamic, fast-paced environment where no two days are the same? Look no further! arenaflex is seeking an experienced Customer Service Representative to join our growing team, supporting the Medicare Appeal process. As a key member of our team, you will play a vital role in providing top-notch service to our customers, resolving their inquiries, and ensuring their needs are met.

About arenaflex

arenaflex is a leading healthcare technology and services company dedicated to empowering better health outcomes through innovative solutions. Our mission is to deliver maximum value and impact to our customers, and we're committed to making a meaningful difference in the lives of millions of people across the country. As a team of passionate individuals, we're driven by a shared vision to redefine expectations for the healthcare industry.

Lead the Way

At arenaflex, we believe in empowering our employees to take ownership of their work and drive results. Our rallying cry, "Lead the Way," is more than just a slogan – it's a call to action that inspires us to innovate, collaborate, and strive for excellence in everything we do. As a Customer Service Representative, you'll have the opportunity to make a real impact, develop your skills, and accelerate your career in a supportive and dynamic environment.

Job Summary

The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests, and adhering to internal policies and procedures. This role requires a strong working knowledge of internal policies, procedures, and services, as well as excellent communication and problem-solving skills.

Key Responsibilities

* Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)

• Utilizes automated systems to log and retrieve information, performs accurate and timely data entry of electronic faxes
• Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
• Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
• Interacts with hospitals, physicians, beneficiaries, or other program recipients
• Investigates and resolves or reports customer problems, identifies and escalates difficult situations to the appropriate party
• Meets or exceeds standards for call volume and service level per department guidelines
• Initiates files by collecting and entering demographic, provider, and procedure information into the system
• Serves as liaison between the Review Supervisors and external providers
• Maintains logs and documents disposition of incoming and outgoing calls

Requirements

* High School diploma or equivalent

• 2+ years of customer service/telephone experience in a similar call center environment and/or industry
• Ability to effectively communicate with team members and external customers
• Ability to research and resolve issues related to Medicaid program and service eligibility
• Bilingual (Spanish/English)

Preferred Qualifications/Experience

* Previous experience in the medical office or other medical setting

• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus)
• Knowledge of CPT and HCPCS codes
• PC proficiency to include Microsoft Office Suite
• Experience with Microsoft programs

Benefits

As a valued member of our team, you'll enjoy a comprehensive benefits package that includes:

• Competitive salary ($15.85 - $18.20 per hour)
• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more!

Work Environment and Company Culture

arenaflex is committed to creating a supportive and inclusive work environment that fosters growth, collaboration, and innovation. Our team members enjoy a dynamic and fast-paced work environment, with opportunities to develop their skills, take on new challenges, and make a real impact in the lives of our customers.

How to Apply

If you're a motivated individual with a passion for delivering exceptional customer service, we encourage you to apply now! Please submit your application through our website at arenaflex.com/careers. We can't wait to review your application and learn more about your qualifications.

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. We welcome applications from diverse candidates and are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

EOE AA M/F/Vet/Disability

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