**Experienced Customer Service Representative – Medicaid and Medicare Support**

Posted 2026-05-05
Remote, USA Full-time Immediate Start

At arenaflex, we're dedicated to delivering exceptional healthcare experiences that put our members at the heart of everything we do. As a Customer Service Representative on our team, you'll play a vital role in providing top-notch support to Aetna Medicaid members and providers, helping them navigate the complexities of their healthcare journey.

  • *About arenaflex**

arenaflex is a leading healthcare company that's committed to making a meaningful difference in the lives of our members. With a strong focus on innovation, customer-centricity, and community engagement, we're shaping the future of healthcare one moment at a time. Our purpose is simple yet powerful: to bring our heart to every moment of your health. This guiding principle inspires us to deliver personalized, convenient, and affordable healthcare solutions that meet the unique needs of our members.

  • *Our Heart At Work Behaviors**

At arenaflex, we believe that our people are the heartbeat of our organization. That's why we've developed our Heart At Work Behaviors, which empower our employees to make a lasting impact on our culture and drive innovation in everything we do. These behaviors include:

  • **Empathy**: We put ourselves in our members' shoes to understand their needs and concerns.
  • **Collaboration**: We work together as a team to deliver exceptional results and exceed expectations.
  • **Innovation**: We're always looking for new and better ways to solve problems and improve our services.
  • **Accountability**: We take ownership of our actions and results, and we're committed to continuous improvement.
  • *Job Summary**

As a Customer Service Representative on our team, you'll be responsible for providing telephone assistance to Aetna Medicaid members and providers. You'll assist with a wide range of inquiries, including eligibility, provider changes, and requests for ID cards. We're looking for someone who is passionate about delivering exceptional customer service and is committed to making a positive impact on our members' lives.

  • *Responsibilities**
  • Answer in-coming member and provider calls and respond to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.
  • Requires high-speed internet connectivity with secure service via ethernet cable; use of Wi-Fi is not permitted.
  • Company provides equipment and training.
  • Must commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems.
  • Ability to communicate effectively with members and providers orally and in written form, ability to meet performance standards, attendance requirements and call quality goals.
  • Must be able to work from home and prove to be self-sufficient.
  • *Key Qualifications**
  • High School Diploma or equivalent GED.
  • Ability to work in a fast-paced call center environment and meet performance standards.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Strong problem-solving and critical thinking skills.
  • Ability to maintain confidentiality and handle sensitive information.
  • *Preferred Qualifications**
  • Experience working remotely in a call center setting.
  • Experience with Medicaid and Medicare.
  • Bilingual or multilingual skills.
  • *What We Offer**

At arenaflex, we're committed to providing a comprehensive benefits package that supports the well-being of our employees and their families. Our benefits include:

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan and Employee Stock Purchase Plan.
  • Fully-paid term life insurance plan and short-term and long-term disability benefits.
  • Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.
  • Education assistance, free development courses, and a CVS store discount.
  • Discount programs with participating partners.
  • *How to Apply**

If you're passionate about delivering exceptional customer service and making a positive impact on our members' lives, we encourage you to apply for this exciting opportunity. Please visit our website at [arenaflex.com/careers](http://arenaflex.com/careers) to learn more about our company culture and values. We look forward to hearing from you!

  • *Application Deadline**

We anticipate the application window for this opening will close on: 09/06/2024. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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