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

At arenaflex, we're passionate about delivering exceptional customer service and making a meaningful impact in the lives of individuals across the country. 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.

• *About arenaflex**

arenaflex is a people-focused, mission-driven organization that's dedicated to improving lives through healthcare quality and clinical expertise. We're a national company with roles all over the US, and we're proud to offer a comprehensive benefits package that includes medical, dental, vision, and 401k with match. Our team is passionate about making a difference, and we're committed to providing the training and support you need to excel in your career.

• *Perks of this Role**

• Fully remote position with rotational shifts available for EST, CT, or PST
• Comprehensive benefits package, including medical, dental, vision, and 401k with match
• Paid time off for a great work-life balance
• Opportunities for career growth and advancement
• Collaborative and supportive team environment
• Flexible work arrangements to accommodate your needs

• *Responsibilities**

As a Customer Service Representative at arenaflex, you'll be responsible for providing exceptional customer service support to our Review Team. Your key responsibilities will include:

• Interacting with beneficiaries and providers via the helpline to furnish and request review information
• Creating, formatting, and proofreading letters to ensure accuracy and timeliness
• Maintaining effective working relationships between arenaflex's internal and external customers
• Assisting with and participating in Review Team meetings to identify areas for potential improvement
• Answering the Beneficiary Helpline through the utilization of the hunt group and available light functions
• Determining how to best assist callers, either by providing a service offered by arenaflex or by referring them to an external agency
• Entering referrals into the CMS system
• Sending out letters in a timely manner with correct components included and reviewed for grammatical and spacing errors
• Obtaining and validating notices and all components of medical records
• Providing intake for all appeals received by arenaflex
• Utilizing 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
• Post-high school business courses helpful
• Medical terminology desired
• Excellent verbal communication skills, courteous and patient demeanor, and a customer-oriented approach
• Good grammar, punctuation, spelling, hyphenation, and written communications skills
• Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers
• General knowledge of a PC-based computer system desirable
• Knowledge of various software packages with the ability to learn additional software packages as needed
• Ability to multi-task and prioritize assignments
• Good organizational skills and ability to work independently

• *Experience**

We're looking for candidates with 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 is recommended, and previous data entry or other clerical experience is a plus.

• *What We Offer**

At arenaflex, we're committed to providing a comprehensive benefits package that includes:

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more!

• *Why Join arenaflex?**

We're a mission-driven organization that's passionate about making a difference in the lives of individuals across the country. We're committed to providing a supportive and collaborative work environment that allows you to grow and develop your skills. Join our team and be part of something bigger than yourself!

• *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 through our website, and we'll be in touch to discuss your qualifications further.

• *Equal Opportunity Employer**

arenaflex is an Equal Opportunity Employer. We're committed to providing a diverse and inclusive work environment that values and respects the contributions of all employees. We welcome applications from qualified candidates of all backgrounds and perspectives.

• *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. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.