At arenaflex, we're dedicated to delivering exceptional customer experiences and providing top-notch support to our internal and external customers. As a Customer Service Government Programs Training and Support Specialist, you'll play a vital role in ensuring accurate benefits administration and delegation, while also developing and conducting training programs for our Government Programs department employees.
**Job Highlights:**
* **Position:** Customer Service Government Programs Training and Support Specialist
* **Start Date:** Immediate openings available
* **Company:** arenaflex
* **Compensation:** A competitive salary
* **Location:** Remote
**Job Summary:**
arenaflex is a leading provider of innovative solutions and services, and we're committed to making a positive impact in our communities. As a Customer Service Government Programs Training and Support Specialist, you'll be part of a dynamic team that's passionate about delivering exceptional customer experiences and providing top-notch support to our internal and external customers.
**Position Description:**
As a Customer Service Government Programs Training and Support Specialist, you'll be responsible for providing day-to-day support to internal and external customers by resolving difficult claims, inquiries, grievances, and appeals. You'll analyze contacts to ensure accuracy, which includes listening to calls, reviewing call logs, working one-on-one with customer service staff and/or other internal departments. You'll also develop and conduct training programs for our Government Programs department employees on department systems and processes, as well as the application of corporate policies, procedures, and guidelines.
**Primary Job Responsibilities:**
* Serves as primary CSR support to assist with detailed interpretation of dental policies, procedure codes, claims processing, Medicare Advantage/Medicaid compliance guidelines, and policies and procedures.
* Researches, analyzes, adjudicates, and makes appropriate determinations on difficult claims and inquiries.
* Develops, coordinates, and conducts new-hire onboarding and training, as well as periodic refresher and training on new functionality and processes.
* Researches and implements training programs using various methods of instruction.
* Identifies, creates, and maintains government programs training and support specialist processes and procedures.
* Prescreens claims and inquiries for the Professional Review and Focused Review departments.
* Communicates with other departments to identify and troubleshoot potential processing and/or system issues.
* Collaborates with department management, quality assurance specialists, and reporting specialists to identify process improvements, department trends, and training needs.
* Performs other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
**Minimum Requirements:**
* Position requires one year of college, technical, vocational, or business school with coursework in dental assisting or dental hygiene, business administration, and composition.
* Two years of related work experience are required.
* Previous Medicare and/or Medicaid experience is preferred.
* Will accept any suitable combination of education, training, or experience.
* Position requires intermediate knowledge of word processing and spreadsheets; knowledge of dental terminology, procedures, insurance products, and claims processing; knowledge of procedure writing and training content development; ability to analyze and resolve complex problems; ability to identify, research, and resolve customer complaints/issues; ability to handle multiple projects and deadlines and multitask; excellent verbal and written communication and organization skills; ability to work independently and make informed decisions quickly; and ability to work flexible hours, including some weekends.
**Why Join arenaflex?**
* arenaflex is an equal opportunity employer and provides a comprehensive benefits package, including medical, dental, and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flex spending accounts, and tuition reimbursement or educational assistance.
* Employees are eligible for annual incentive compensation based on annual business goals.
* arenaflex offers eight hours of paid volunteer time each year, plus access to an on-staff health coach and personal trainer, virtual lunchtime workouts hosted by the trainer, and/or an on-site fitness center.
* arenaflex is committed to creating a diverse and inclusive work environment, where employees can grow and develop their careers.
**How to Apply:**
If you're passionate about delivering exceptional customer experiences and providing top-notch support to our internal and external customers, we want to hear from you! Apply today and let's build the future together.