Customer Service Representative - Remote - Full Benefits - Healthcare Quality Improvement and Care Management

Join Our Team: Make a Difference in Healthcare with Arsenault Are you a motivated and customer-focused individual looking for a new challenge in a rapidly growing national quality improvement and care management organization? Do you value helping others and making a positive impact on people's lives? At Arsenault, 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 a talented Customer Service Representative to join our team and help us achieve our mission. About Us Arsenault is a people-focused, mission-driven organization that cares deeply about our employees and the communities we serve. We're dedicated to improving lives through healthcare quality and clinical expertise. Our team is passionate about delivering exceptional customer service, and we're looking for someone who shares our values and is excited to make a difference. Perks of This Role As a Customer Service Representative at Arsenault, you'll enjoy: A fully remote position, with the flexibility to work from home and rotational shifts available for EST, CT, or PST. Full benefits, including medical, dental, vision, and more, effective the first month following your hire date. Paid time off for a great work-life balance. A 401k with match and no vesting period. The opportunity to build upon your experience and advance your career in a national company with roles across the US. Job Summary We're seeking a highly skilled Customer Service Representative to provide exceptional support to our Review Team. As a key member of our team, you'll interact with beneficiaries and providers via our helpline, create and format letters, and maintain timeliness. This role requires excellent decision-making skills, particularly when handling complex appeals. Key Responsibilities As a Customer Service Representative at Arsenault, you'll be responsible for: Interacting with beneficiaries and providers via the helpline, providing exceptional customer service and support. Creating, formatting, and proofreading letters, as well as maintaining timeliness and accuracy. Fostering effective working relationships between Arsenault's internal and external customers. Assisting with and participating in Review Team activities, including identifying areas for potential improvement. Answering the Beneficiary Helpline, determining how to best assist callers, and properly entering referrals into the CMS system. Ensuring all letters sent out are timely, accurate, and reviewed for grammatical and spacing errors. Validating notices and medical records, and providing intake for all appeals received by Arsenault. Utilizing internal quality control tools to assess individual work and team processes. Essential Qualifications To succeed in this role, you'll need: A high school diploma or equivalent. Post-high school business courses, medical terminology, or related experience. Excellent verbal communication skills, with a courteous and patient demeanor. 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, with the ability to learn additional software packages as needed. The ability to multi-task, prioritize assignments, and work independently. Preferred Qualifications We prefer 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 experience. Previous data entry or other clerical experience. Skills and Competencies To excel in this role, you'll need: Strong decision-making and problem-solving skills. Excellent communication and interpersonal skills. The ability to work in a fast-paced environment and prioritize multiple tasks. A customer-focused approach and commitment to delivering exceptional service. Basic computer skills and the ability to learn new software packages. Career Growth Opportunities and Learning Benefits At Arsenault, we're committed to helping our employees grow and develop their skills. You'll have access to: Comprehensive training and support to help you succeed in your role. Opportunities for career advancement and professional growth. A collaborative and dynamic work environment that encourages learning and innovation. Work Environment and Company Culture Our company culture is built on: A commitment to our mission and values. A focus on employee well-being and engagement. A collaborative and inclusive work environment. Opportunities for growth and development. Compensation, Perks, and Benefits We offer a comprehensive compensation package, including: Competitive salary and benefits. Paid time off and holidays. A 401k with match and no vesting period. Comprehensive health plans and wellness programs. Conclusion If you're a motivated and customer-focused individual looking for a new challenge, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at Arsenault, you'll have the chance to make a real difference in people's lives and advance your career in a rapidly growing organization. Don't miss out on this chance to join our team and shape the future of healthcare! Apply now and take the first step towards a rewarding career with Arsenault! Apply for this job