**Experienced Customer Service Representative – Healthcare Industry – Work from Home Opportunity**

At arenaflex, we are committed to providing exceptional customer experiences that leave a lasting impression on our clients and their customers. As a leading provider of innovative solutions, we understand the importance of having a talented team of customer service representatives who can deliver top-notch support and guidance to our customers. We are now seeking an experienced Customer Service Representative to join our team and contribute to our mission of delivering outstanding customer experiences.

• *About arenaflex**

arenaflex is a global organization with a presence in seven countries and a network of over 30,000 employees. Headquartered in Washington, D.C., we have delivery locations across 26 sites and are dedicated to providing a comprehensive range of services that meet the evolving needs of our clients and customers. Our commitment to excellence, innovation, and customer satisfaction has earned us a reputation as a trusted partner in the industry.

• *The Role**

As a Customer Service Representative at arenaflex, you will play a critical role in delivering exceptional customer experiences across multiple lines of business. You will be responsible for answering general inquiries, addressing concerns, and assisting with requests related to our products and services. Your primary goal will be to project a professional company image and provide superior customer service while working with customers through various contact channels.

• *Key Responsibilities**

• Resolve coordination of benefits inquires by analyzing patient activity, including enrollment, third-party liability, claims attachments, and other relevant information.
• Possess a comprehensive understanding of insurance coverage and be able to interpret and communicate accurate information to customers and dental professionals.
• Thoroughly and completely document all customer interactions, ensuring that all relevant details are captured and recorded.
• Educate customers and dental professionals on eligibility, benefits, claims payment, and authorizations, as well as the usage and benefits of self-service tools.
• Assist members in gaining access to care by locating a network dentist or assigning them to a primary care dentist.
• Direct inquires to necessary departments or individuals when the resolution of the inquiry is beyond the scope of control for this role.
• Respond to customer inquiries in a courteous and professional manner, providing accurate information to resolve all member and provider inquiries through verbal and written communications.
• Research and consistently provide accurate information to resolve complex customer inquiries, both internal and external.
• Resolve claim payment inquiries by researching and analyzing patient activity and determining the appropriate action to be taken.
• Take ownership of the resolution and set expectations for follow-up, ensuring that all issues are resolved to the customer's satisfaction.
• Ensure that resubmissions, stop payments, and voids are appropriately handled, and that all relevant documentation is completed and filed.
• Meet or exceed individual, department, and client-specific goals, contributing to the success of the organization.
• Understand and adhere to all client administrative and contractual policies and procedures.
• Suggest ways to improve the service delivery processes, contributing to the success of the organization.

• *Essential Qualifications**

• High School Diploma or Equivalent
• 2 years of experience in a high-volume customer service environment
• Experience in the healthcare or related industry is 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-paced 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

• *Preferred Qualifications**

• Medical/Dental terminology knowledge experience
• Medicare/Medicaid knowledge
• Claims/Billing and coding experience

• *Benefits**

• 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 and Culture**

As a remote employee, you will have the flexibility to work from the comfort of your own home, while still being part of a dynamic and supportive team. arenaflex is committed to creating a work environment that is inclusive, diverse, and respectful, where all employees feel valued and empowered to contribute to our mission.

• *Compensation and Benefits**

• $15.00 per hour
• 401(k) Retirement Savings Plan
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

• *How to Apply**

If you are a motivated and customer-focused individual with a passion for 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!

• *Application Question(s)**

• Do you reside in Virginia?

• *Experience**

• Customer service: 2 years (Required)

• *Work Location**

• Remote

Apply now and join the arenaflex team in delivering exceptional customer experiences that make a difference in the lives of our clients and customers!