**Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits**

At arenaflex, we're on a mission to revolutionize the way we deliver healthcare services to vulnerable populations across the United States. As a rapidly growing national quality improvement and care management organization, we're committed to ensuring that over 20 million people receive the right care, at the right time, in the right setting. We're seeking an experienced Customer Service Representative to join our team and help us shape the future of healthcare.

• *Why Join arenaflex?**

As a Customer Service Representative at arenaflex, you'll have the opportunity to work in a dynamic and supportive environment that values people-focused, mission-driven work. Our team is dedicated to improving lives through healthcare quality and clinical expertise, and we're committed to providing the training and support you need to excel in your role.

• *Perks of this Role**

• **Fully Remote Position**: Work from the comfort of your own home with rotational shifts available for EST, CT, or PST.
• **Comprehensive Benefits**: Enjoy full benefits, including medical, dental, vision, and more, effective the first month following your hire date.
• **Paid Time Off**: Take advantage of paid time off for a great work-life balance.
• **401k with Match**: Contribute to your retirement savings with a 401k plan that includes a match with no vesting period.
• **Career Advancement Opportunities**: Join a national company with roles all over the US and advance your career in a meaningful way.

• *Responsibilities**

As a Customer Service Representative, you'll be responsible for:

• **Providing Customer Service Support**: Interact with beneficiaries and providers via the helpline, creating, formatting, and proofreading letters, and maintaining timeliness.
• **Decision Making**: Make decisions regarding complex appeals, requiring a great deal of judgment and critical thinking.
• **Communication**: Communicate verbally and in writing with external customers to furnish and request review information.
• **Relationship Building**: Foster effective working relationships between arenaflex's internal and external customers.
• **Process Improvement**: Assist with and participate in Review Team in identifying areas for potential improvement, as noted on case reviews and process.
• **Data Entry**: Enter referral information into the CMS system and maintain accurate records.
• **Quality Control**: Utilize internal quality control tools to assess individual work and team processes.

• *Qualifications**

To be successful in this role, you'll need:

• **High School Diploma or Equivalent**: A high school diploma or equivalent is required.
• **Post-High School Business Courses**: Post-high school business courses are helpful, but not required.
• **Medical Terminology**: Medical terminology is desired, but not required.
• **Excellent Verbal Communication Skills**: Excellent verbal communication skills, a courteous and patient demeanor, and the ability to maintain composure under potentially stressful situations.
• **Good Grammar and Written Communication Skills**: Good grammar, punctuation, spelling, hyphenation, and written communication skills are essential.
• **Customer Focus**: A customer-focused, results-oriented approach, with the ability to build and maintain relationships with internal and external customers.
• **Flexibility and Teamwork**: Flexibility and the ability to work as a team member, supporting team decisions.
• **General Knowledge of PC-Based Computer Systems**: General knowledge of PC-based computer systems is desirable, as is knowledge of various software packages with the ability to learn additional software packages as needed.
• **Multi-Tasking and Prioritization**: The ability to multi-task and prioritize assignments is essential.
• **Good Organizational Skills**: Good organizational skills and the ability to work independently are required.

• *Experience**

We're looking for candidates with:

• **Two to Three Years of Clerical Experience**: Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities.
• **Prior Work in a Healthcare Setting or Medical Terminology**: Prior work in a healthcare setting or medical terminology is recommended, as is previous data entry or other clerical experience.

• *Mental and Physical Requirements**

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job.

• *Equal Opportunity Employer**

arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

• *How to Apply**

If you're 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 through our website, and we'll be in touch to discuss your qualifications further.