Customer Service Representative - Remote Opportunity with Full Benefits & Career Growth

Join the Arsenault Team: Revolutionizing Healthcare through Exceptional Customer Service Are you a dedicated and experienced Customer Service Representative looking for a new challenge that aligns with your passion for delivering top-notch service and making a difference in your community? Do you value a work environment that prioritizes employee well-being, career growth, and meaningful work? If so, we invite you to explore this exciting remote opportunity with Arsenault, a rapidly growing national quality improvement and care management organization. About Arsenault: People Focused, Mission Driven At Arsenault, we're driven by a mission to improve the lives of over 20 million people by ensuring they receive the right care, at the right time, in the right setting. Our team is comprised of professionals who share a commitment to delivering exceptional healthcare quality and clinical expertise. We're a company that cares deeply about our employees, providing the training, support, and opportunities needed to excel in their careers and make a real impact. Key Responsibilities: Providing Exceptional Customer Service Provide comprehensive customer service support to the Review Team, including interacting with beneficiaries and providers via the helpline, creating and formatting letters, and maintaining timeliness. Make informed decisions regarding complex appeals, demonstrating a high level of judgment and critical thinking. Communicate effectively with external customers, both verbally and in writing, to furnish and request review information. Foster collaborative relationships between Arsenault's internal and external customers, promoting a culture of transparency and trust. Participate in identifying areas for potential improvement, leveraging case reviews and process insights to drive growth and excellence. Manage the Beneficiary Helpline, utilizing the hunt group and available light functions to determine the best course of action for callers and properly enter referrals into the CMS system. Ensure timely and accurate correspondence, including proofreading for grammatical and spacing errors. Validate notices and medical records, demonstrating attention to detail and organizational acumen. Provide intake for all appeals received by Arsenault, showcasing proficiency in customer service guidelines and standards. Utilize internal quality control tools to assess individual work and team processes, driving continuous improvement. Qualifications: The Ideal Candidate Essential Qualifications High school diploma or equivalent. Excellent verbal and written communication skills, with a courteous and patient demeanor. Customer-oriented with the ability to maintain composure under potentially stressful situations. Good grammar, punctuation, spelling, and written communications skills. Ability to multi-task, prioritize assignments, and work independently. General knowledge of PC-based computer systems and software packages, with the ability to learn additional software as needed. Preferred Qualifications Post-high school business courses. Medical terminology knowledge. Two to three years of clerical experience, including word processing, filing systems, and telephone customer service responsibilities. Prior work in a healthcare setting or medical terminology background. Previous data entry or other clerical experience. What We Offer: A Comprehensive Rewards Package At Arsenault, we're committed to providing a comprehensive rewards package that supports our employees' career growth, well-being, and overall quality of life. Our benefits include: Full benefits (medical, dental, vision, etc.) effective the first month following your hire date. Paid time off for a great work-life balance. 401(k) with match and no vesting period. Corporate wellness programs. Educational assistance. Corporate discounts. Career Growth Opportunities & Learning Benefits At Arsenault, we're dedicated to helping our employees grow and develop in their careers. As a rapidly growing national organization, we offer opportunities for professional advancement, training, and skill development. Our employees have the chance to work on meaningful projects, collaborate with experienced professionals, and make a real impact in the healthcare industry. Work Environment & Company Culture We're a remote-friendly company that values flexibility and work-life balance. As a Customer Service Representative, you'll have the opportunity to work from home and enjoy a rotational shift schedule that accommodates EST, CT, or PST time zones. Our company culture is built on a foundation of transparency, trust, and collaboration, ensuring that our employees feel supported and empowered to succeed. Compensation & Perks While we can't disclose specific compensation details, we can assure you that our package is competitive and aligned with industry standards. In addition to the comprehensive benefits mentioned earlier, you'll enjoy a range of perks, including paid time off, corporate wellness programs, and educational assistance. Join Our Team: Make a Difference in Healthcare If you're a motivated, energetic, and customer-focused professional looking for a new challenge, we invite you to join our team. At Arsenault, you'll have the opportunity to make a real difference in the lives of individuals across the country, while growing and developing in your career. Apply now and become part of our mission-driven organization. Arsenault is an Equal Opportunity Employer , committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Thank you for considering this opportunity. We appreciate your interest in joining our team and look forward to reviewing your application. Apply for this job