**Experienced Customer Service Advisor – Remote Healthcare Call Center**

Remote Full-time
At arenaflex, we're on a mission to revolutionize the healthcare industry by providing exceptional customer service to our members and health providers. As a leading global IT solutions and services company, we're committed to delivering innovative solutions that improve the lives of millions of people around the world. With a strong compensation package and opportunities for career advancement, we're looking for talented individuals to join our team as a Customer Service Advisor in our remote healthcare call center. **About arenaflex** arenaflex is a global leader in IT solutions and services, with over 240,000 dedicated employees serving clients across multiple continents and 66 countries. We're passionate about using technology to drive positive change and improve the lives of people everywhere. Our culture is built on a foundation of innovation, collaboration, and customer-centricity, and we're committed to creating a workplace that's engaging, exciting, and rewarding for our employees. **Job Summary** As a Customer Service Advisor in our remote healthcare call center, you'll play a critical role in providing exceptional customer service to our members and health providers. You'll work with a variety of stakeholders, including members, health providers, and internal teams, to resolve complex issues and ensure that our members receive the care they need. This is a call center production role, and you'll be responsible for meeting production, quality, and regulatory expectations. **Primary Responsibilities** * This is a call center production role for Inbound Calls, and you'll have the responsibility to meet production, quality, and regulatory expectations * Ensure case is set up correctly and document required information * Review, research, and determine if case can be decisioned or if it requires additional clinical review * Demonstrate proficiency and decision making by solving complex problems using available resources (documents, medical policy, standard operating procedure, etc.) * As needed, make outbound calls to providers and/or members to obtain information regarding a case * As needed, make occasional outbound calls to providers to coordinate provider availability in treating members * Other duties as assigned by manager and/or director **Essential Qualifications** * High School Diploma / GED (or higher) - Will be required to provide documentation for verification * 2+ years of combined or related experience in a healthcare administration with understanding of medical terminology * 1+ year of call center experience * Proficiency with Microsoft Office Word (create and maintain documents), Excel (create and maintain spreadsheets), and Outlook (email and calendaring) * Should have typing speed 35+ WPM * Ability to follow a script for every call * Required to have a dedicated work area established that is separated from other living areas and provides information privacy in compliance with HIPAA regulations * High-speed internet with 20mbps upload/download speed * Ability to work one of the varying shifts to support our 24hr 7 days a week operations **Preferred Qualifications** * Associate's Degree (or higher) in a healthcare-related field * Medical Terminology * ICD-9/ICD-10 and CPT Knowledge **Skills and Competencies** * Excellent communication and interpersonal skills * Ability to work in a fast-paced environment and prioritize tasks effectively * Strong problem-solving and decision-making skills * Ability to work independently and as part of a team * Proficiency in Microsoft Office Suite (Word, Excel, Outlook) * Strong typing skills (35+ WPM) * Ability to follow a script for every call * Strong knowledge of medical terminology and healthcare regulations **Career Growth Opportunities and Learning Benefits** At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including: * On-the-job training and mentorship * Online training and certification programs * Leadership development programs * Career advancement opportunities **Work Environment and Company Culture** Our remote healthcare call center is a dynamic and fast-paced environment that requires strong communication and problem-solving skills. We're committed to creating a workplace that's engaging, exciting, and rewarding for our employees. Our company culture is built on a foundation of innovation, collaboration, and customer-centricity, and we're passionate about using technology to drive positive change and improve the lives of people everywhere. **Compensation, Perks, and Benefits** We offer a strong compensation package that includes competitive pay and day one benefits. Our benefits package includes: * Competitive salary * Comprehensive health insurance * 401(k) matching program * Paid time off and holidays * Flexible work arrangements * Professional development opportunities **How to Apply** If you're a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our online application portal. We can't wait to hear from you! Apply Job! Apply for this job
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