**Job Title:** Experienced Customer Service Representative - Remote Work Opportunity with arenaflex
**Job Description:**
About arenaflex
At arenaflex, we pride ourselves on being a leading provider of innovative solutions and exceptional customer experiences. Our commitment to excellence has earned us a reputation as a trusted partner in the industry, and we're now seeking talented individuals to join our team as Customer Service Representatives. If you're passionate about delivering outstanding customer service and working in a dynamic, remote environment, we encourage you to apply for this exciting opportunity.
About the Role
As a Customer Service Representative at arenaflex, you will be the primary point of contact for our customers, providing exceptional support and resolving inquiries in a timely and professional manner. Your day-to-day responsibilities will include:
- Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments)
- Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information
- Thoroughly and completely documenting all customer interactions
- Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations
- Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist
- Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role
- Responding to customer inquiries in a courteous and professional manner
- Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions
- Responding to and resolving internal and external complex customer inquiries
- Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken
- Taking ownership of the resolution and setting expectation for follow up
- Ensuring resubmissions, stop payments, and voids are appropriately handled
- Meeting or exceeding individual, department, and client specific goals
- Understanding and adhering to all client administrative and contractual policies and procedures
- Suggesting ways to improve the service delivery processes contributing to the success of the organization
- Other duties as assigned
Requirements
To be successful in this role, you will need to possess the following qualifications and skills:
- High School Diploma or Equivalent
- 2 years experience in a high volume customer service environment
- Experience in healthcare or related industry experience preferred
- Ability to multi-task using multiple applications simultaneously
- Ability to set-up computer equipment and troubleshoot issues with minimal assistance
- Professional verbal and written communication skills
- Ability to operate a computer and knowledge of Microsoft Office applications
- Strong organizational skills and attention to detail
- Ability to work independently and with a team
- Ability to learn quickly and adapt to a fast pace production environment
- Cooperative, professional and effective interaction skills
- Critical thinking and problem solving skills
- Ability to tolerate repetitive work without compromising accuracy and service levels
- Attend additional training as requested/deemed necessary
Preferred Qualifications
While not required, the following qualifications are highly desirable:
- Medical/Dental terminology knowledge experience
- Medicare/Medicaid knowledge
- Claims/Billing and coding experience
Benefits
As a valued member of the arenaflex team, you will enjoy a comprehensive benefits package, including:
- Medical, Dental, and Vision insurance
- 401(k) Retirement Savings Plan
- Paid Time Off
- Paid T-Mobile cell service
- $500.00 Employee referral program
- Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)
Work Environment
As a remote employee, you will have the flexibility to work from the comfort of your own home, with the ability to communicate with colleagues and customers through various channels. Our remote work environment is designed to promote productivity, collaboration, and work-life balance.
How to Apply
If you're a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!
Equal Employment Opportunity
arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion.