**Job Title:** Experienced Customer Service Representative – Remote Opportunity with arenaflex
**Job Summary:**
Are you a customer service enthusiast with a passion for delivering exceptional experiences? Do you thrive in fast-paced environments and enjoy working with diverse teams? If so, we invite you to join arenaflex as a Customer Service Representative. As a key member of our team, you will play a vital role in providing top-notch support to our members and health plans, ensuring a seamless and positive experience for all.
**About arenaflex:**
arenaflex is a leading Independent Physician Association in Southern California, dedicated to delivering high-quality healthcare services to our members. We pride ourselves on our fast-paced, exciting, and supportive work environment, where opportunities abound for enterprising, capable, and focused individuals to grow and succeed. Our commitment to teamwork, learning, and advancement has earned us a reputation as a top employer in the region.
**Job Responsibilities:**
As a Customer Service Representative with arenaflex, you will be responsible for:
* Responding to incoming calls from members and health plans, providing information and clarification on RMG/LMG services, such as authorizations, member billing, referrals, and eligibility.
* Maintaining or exceeding quality and productivity standards, handling a minimum of 35 calls per day with matching documentation.
* Anticipating the needs of our members/callers, understanding their wants and needs, and determining the level of intervention required.
* Utilizing standardized processes, tools, and researching EZCAP 6X and REA/LEA Systems to resolve routine or complex issues.
* Documenting all interactions in the EZCAP 6X customer service module and REA/LEA.
* Providing essential information to members regarding authorizations, billing issues, eligibility, and urgent cares.
* Maintaining patient confidentiality, adhering to HIPAA and PHI processes.
* Accessing Interpretation language line for non-English patients as needed.
* Working independently to resolve telephonic issues, handling designated assignments, and prioritizing work to maintain workflow.
* Ensuring accurate and professional written and verbal communication with all levels of management, staff.
* Displaying a warm and pleasant phone personality, emphasizing tact, empathy, good judgment, and patience.
* Self-starting, willing to take on multiple tasks, and reviewing and interpreting health plan benefits and provider contracts.
* Typing 45 WPM with accuracy, communicating effectively orally and written, and meeting productivity guidelines.
**Essential Qualifications:**
* Minimum two (2) years of customer service or healthcare setting experience.
* Multi-line telephone experience.
* High School Diploma or equivalent required.
* Ability to deal responsibly with matters of a confidential nature.
* Ability to multi-task and meet deadlines in a high-stress environment.
* Excellent communication skills, both verbal and written.
* Ability to read, write, and understand the English language.
* Pleasant telephone manner and telephone etiquette.
* Ability to distinguish the differences between CPT, HCPCS.
* Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access, and PowerPoint).
* Knowledge of computers, faxes, printers, and all other office equipment.
* Self-starter, willing to take on multiple tasks.
**Preferred Qualifications:**
* Experience working in a healthcare setting or with health plans.
* Knowledge of EZCAP 6X and REA/LEA Systems.
* Familiarity with HIPAA and PHI processes.
* Ability to communicate effectively in multiple languages.
* Experience working in a fast-paced, dynamic environment.
**Compensation and Benefits:**
* Competitive hourly rate: $20 - $21 per hour (commensurate with experience).
* Comprehensive benefits package, including:
+ Employer-paid comprehensive medical, pharmacy, and dental for employees.
+ Vision insurance.
+ Zero co-payments for employed physician office visits.
+ Flexible Spending Account (FSA).
+ Employer-Paid Life Insurance.
+ Employee Assistance Program (EAP).
+ Behavioral Health Services.
+ 401(k) Retirement Savings Plan.
+ Income Protection Insurance.
+ Vacation Time.
+ Company celebrations.
+ Employee Assistance Program.
+ Employee Referral Bonus.
+ Tuition Reimbursement.
+ License Renewal CEU Cost Reimbursement Program.
+ Business-casual working environment.
+ Sick days.
+ Paid holidays.
+ Mileage.
**Work Environment:**
arenaflex offers a fast-paced, exciting, and supportive work environment, where opportunities abound for enterprising, capable, and focused individuals to grow and succeed. Our commitment to teamwork, learning, and advancement has earned us a reputation as a top employer in the region.
**How to Apply:**
If you are a motivated and customer-focused individual with a passion for delivering exceptional experiences, we invite you to submit your application today. Join our team and take the first step towards a rewarding career with arenaflex.