Experienced Customer Service Representative for Leading Health Care Organization - Remote Opportunity in Michigan

Welcome to arenaflex arenaflex, a renowned leader in the health care industry, is seeking a highly skilled and dedicated Customer Service Representative to join our dynamic team. As a customer-centric organization, we are committed to delivering exceptional service to our members, and we believe that our employees are the key to driving our mission forward. With a culture of high performance and a passion for helping people live healthier and more satisfying lives, arenaflex is the perfect place for talented individuals to grow and thrive. About Our Organization arenaflex is a division of a larger health care corporation, with a rich history of providing top-notch health care services to our members. Our subsidiaries, arenaflex Health Plan and arenaflex Inc., value the talents and abilities of all our employees and strive to create an open, cooperative, and dynamic environment that fosters growth and success. As an employee of arenaflex, you will be part of a team that considers all employees as leaders in driving the organization forward and delivering quality service to our members. Our Health Plans arenaflex Health Plan is our Michigan-based health plan, dedicated to meeting the unique health care needs of our Michigan members. With a strong commitment to providing exceptional service and support, arenaflex Health Plan is the go-to choice for individuals and families seeking high-quality health care. You can learn more about arenaflex Health Plan by visiting our website. arenaflex Inc. is our Indiana-based health plan, working closely with the State of Indiana and Centers for Medicare and Medicaid Services to bring our members the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. With a focus on providing affordable and accessible health care, arenaflex Inc. is making a positive impact in the lives of our members. You can learn more about arenaflex Inc. by visiting our website. Job Summary We are seeking a highly skilled Customer Service Representative to join our team in Michigan. As a Customer Service Representative, you will be responsible for handling daily member telephone calls, directing members to the proper services needed, educating members, problem-solving, and creating linkages to our Medical Management Department for authorization of services. You may also be responsible for assisting providers with eligibility, benefit, and resolution of claims issues. If you are a customer-focused individual with excellent communication skills and a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Key Responsibilities: Handle daily member telephone calls, responding to inquiries and resolving issues in a timely and professional manner Direct members to the proper services needed, providing education and support to ensure they receive the best possible care Problem-solve and troubleshoot issues, escalating complex problems to senior team members as needed Create linkages to our Medical Management Department for authorization of services, ensuring seamless communication and coordination of care Assist providers with eligibility, benefit, and resolution of claims issues, providing excellent customer service and support Collaborate with internal teams to resolve member issues and improve overall customer satisfaction Qualifications To be successful in this role, you will need to possess the following qualifications: Required: High School Diploma or equivalent certification One (1) year of experience in a customer service related role with direct contact with customers via telephone, email, chat, and/or face-to-face Preferred: One (1) year of experience in a physician health care office environment or high-volume call center One (1) year of experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions Skills and Competencies To excel in this role, you will need to possess excellent communication and interpersonal skills, with the ability to work effectively with members, providers, and internal teams. You will also need to be highly organized, with the ability to prioritize tasks and manage multiple projects simultaneously. Strong problem-solving and analytical skills are essential, as well as the ability to work in a fast-paced environment with a high level of accuracy and attention to detail. Career Growth and Development At arenaflex, we are committed to the growth and development of our employees. We offer a range of training and development programs, designed to help you build new skills and advance your career. With opportunities for advancement and professional growth, you will be able to take your career to the next level and achieve your goals. Work Environment and Culture arenaflex is a dynamic and supportive work environment, with a culture that values diversity, equity, and inclusion. We believe in fostering an open, cooperative, and dynamic environment that encourages collaboration, creativity, and innovation. Our employees are our greatest asset, and we are committed to providing a positive and supportive work environment that allows you to thrive. Compensation and Benefits arenaflex offers a competitive compensation and benefits package, designed to attract and retain top talent. Our benefits package includes a range of perks and benefits, such as health insurance, retirement savings, and paid time off. We also offer a range of employee recognition and reward programs, designed to recognize and reward your hard work and contributions. Conclusion If you are a customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at arenaflex, you will be part of a dynamic team that is dedicated to making a positive impact in the lives of our members. With a range of career growth and development opportunities, a supportive work environment, and a competitive compensation and benefits package, arenaflex is the perfect place to build your career and achieve your goals. Apply today and join our team of dedicated professionals who are committed to delivering exceptional service and support to our members. Apply for this job