At arenaflex, we're dedicated to delivering exceptional customer experiences that exceed our clients' expectations. As a critical member of our team, the Concierge Customer Service Representative will play a pivotal role in providing top-notch support to our valued customers. This 100% remote position offers a unique opportunity for a highly skilled and motivated individual to join our dynamic team and make a significant impact.
**About arenaflex**
arenaflex is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through cutting-edge technology, expert guidance, and unparalleled customer service. With a strong commitment to excellence, we strive to create a positive and inclusive work environment that fosters growth, creativity, and collaboration.
**Job Summary**
We're seeking an experienced Concierge Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for providing exceptional support to our customers through various communication channels, including phone, email, and chat. Your primary focus will be on resolving customer inquiries, addressing concerns, and ensuring a seamless experience for our valued clients.
**Key Responsibilities**
* Respond to telephone and email inquiries received from members and providers within defined service standards
* Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
* Assist members with benefits and healthcare questions
* Document all calls received in system-based call log
* Perform other duties or responsibilities as assigned by management
**Requirements and Qualifications**
* **Education**: Minimum HS Diploma/GED, 2 years college or higher education preferred
* **Experience**: One year Customer Service/Call Center experience in a healthcare-related role, with a strong preference for Medical Intake or Third-Party Administrator (TPA) experience
* **Language Skills**: Bilingual English-Spanish a plus
* **Skills and Competencies**:
+ Patience and ability to handle difficult situations tactfully and diplomatically
+ Strong customer relations, interpersonal skills
+ Strong appreciation and ability to handle confidential & sensitive information
+ Proficient with Microsoft applications, strong computer skills, and computer navigation
+ Excellent data entry and typing skills
+ Knowledge of provider organizations and networks
+ Knowledge and understanding of CMS Medicare reimbursement rates
+ Ability to effectively negotiate rate structures
+ Takes initiative to resolve situations and to accomplish projects, actions, and tasks
+ Excellent verbal and written communication skills
+ Independent judgment in decision making and problem solving
+ Ability to multi-task & anticipate potential needs/problems
+ Ability to build relationships with internal and external customers
+ Medical Terminology
+ Strong attention to detail
+ Understanding of Self-Funded health benefits a plus
+ Claim processing skills a plus
+ Insurance verification or pre-certification a plus
+ Provider office/facility billing department or financial area
+ Strong analytical and research skills
**Work Environment and Physical Demands**
This position is in a typical office/home office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment.
**Compensation and Benefits**
arenaflex offers a competitive salary package, commensurate with experience, ranging from $16.00 to $18.00 per hour. We also provide a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to helping our employees grow and develop their skills. We offer a range of training programs, mentorship opportunities, and career development resources to support your professional growth. Our dynamic and inclusive work environment encourages collaboration, creativity, and innovation, providing a unique opportunity for you to make a meaningful impact.
**How to Apply**
If you're a motivated and experienced customer service professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online application portal.
**Equal Opportunity Employer**
arenaflex is an Equal Opportunity Employer, including disability/veterans. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees. We are unable to sponsor applicants for employment.