Experienced Customer Service Representative – Medical Claims Navigation

At arenaflex, we're dedicated to providing exceptional patient care and delivering top-notch medical equipment and respiratory services to our community. With over 70 years of experience, we've established ourselves as a trusted and reputable provider in the durable medical equipment and respiratory industry. Our commitment to excellence has earned us numerous prestigious awards, including the NorthCoast 99 Award as a Top Workplace to work and the National HME Excellence Award for Best Home Medical Equipment company in the US. As a family-owned and operated business, we prioritize our employees' growth and well-being. We're proud to offer a comprehensive benefits package, competitive pay, and opportunities for advancement. If you're a motivated and detail-oriented individual looking to make a meaningful impact in the medical industry, we encourage you to apply for our Customer Service Representative – Medical Claims Navigation (CMN) role.

About the Role

As a CMN representative, you'll play a vital part in ensuring the timely and accurate processing of medical claims. Your primary responsibilities will include reviewing initial prescriptions, completing daily follow-up processes, and managing the CMN renewal process. You'll also be responsible for handling phone calls related to CMNs and collaborating with the Director of Revenue to improve processes and drive success.

Key Responsibilities and Duties

* Review initial prescriptions for qualifying elements and ensure timely release of claims

• Complete daily follow-up processes on all CMNs assigned within the WIP states/RC worklist
• Review possible renewal CMNs within the CMN review worklist and manage the CMN renewal process
• Obtain all necessary documentation and handle outstanding held revenue related to CMNs for assigned branches
• Manage phone calls related to CMNs and provide exceptional customer service
• Perform other duties as assigned by the Director of Revenue

Essential Qualifications

* High school diploma or equivalent

• Proven ability to multi-task in a fast-paced environment
• Detail-oriented and team-oriented with effective communication (verbal and written) and organizational skills
• Proven computer proficiency, including the use of multiple applications simultaneously
• Knowledge of the HME/DME industry is preferred

Preferred Qualifications

* Previous experience in a customer service or medical claims navigation role

• Familiarity with medical terminology and coding
• Strong analytical and problem-solving skills

Skills and Competencies Required for Success

* Excellent communication and interpersonal skills

• Ability to work in a team environment and collaborate with colleagues
• Strong organizational and time management skills
• Proficiency in Microsoft Office and other software applications
• Ability to adapt to changing priorities and deadlines
• Strong attention to detail and accuracy

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to investing in our employees' growth and development. As a CMN representative, you'll have opportunities to:

• Develop your skills and knowledge in medical claims navigation and customer service
• Collaborate with experienced professionals in the industry
• Participate in training and development programs to enhance your performance
• Take on new challenges and responsibilities as you grow in your role

Work Environment and Company Culture

Our remote work environment offers flexibility and autonomy, allowing you to work from the comfort of your own home. Our company culture values:

• Collaboration and teamwork
• Open communication and transparency
• Continuous learning and growth
• Employee well-being and work-life balance

Compensation, Perks, and Benefits

We offer a competitive salary, starting at $16.50, and a comprehensive benefits package, including:

• Medical, dental, and vision insurance
• HSA account with company contribution
• Pet insurance
• Company-provided life and AD&D insurance
• Short-term and long-term disability
• Tuition reimbursement program
• Employee assistance program (EAP)
• Employee referral bonus program
• 401(k) with matching program and Roth IRA
• Company discounts
• PayActive/on-demand pay
• Paid vacation, sick days, you days, and holidays

Conclusion

If you're a motivated and detail-oriented individual looking to make a meaningful impact in the medical industry, we encourage you to apply for our Customer Service Representative – Medical Claims Navigation role. Join our team at arenaflex and take the first step towards a rewarding new career. Apply now and seize this opportunity to make a significant impact! Apply for this job