Experienced Customer Service Representative for Medicaid Member Support – arenaflex

Introduction to arenaflex At arenaflex, we are driven by a singular purpose: to bring our heart to every moment of your health. This guiding principle underscores our commitment to delivering enhanced, human-centric health care in a rapidly evolving world. Our brand, with heart at its core, sends a powerful message that the manner in which we deliver our services is just as crucial as the services themselves. This philosophy is the foundation upon which our Heart At Work Behaviors are built, empowering every team member to play a pivotal role in transforming our culture and accelerating innovation to make health care more personal, convenient, and affordable. Job Overview We are seeking a highly skilled and compassionate Customer Service Representative to join our team in Princeton, NJ. As a Member Service Representative, you will be the frontline support for Aetna Medicaid members and providers, providing exceptional telephone assistance and ensuring an outstanding experience for every caller. Your role will involve addressing a wide range of inquiries, including eligibility, provider changes, and requests for ID cards, among others. This position requires strong customer service skills, the ability to work independently, and a commitment to delivering high-quality support. Key Responsibilities Answering inbound calls from members and providers, responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs. Utilizing high-speed internet connectivity via an ethernet cable (Wi-Fi not permitted) to ensure secure and reliable service. Participating in comprehensive training provided by arenaflex to ensure proficiency in our systems and processes. Maintaining performance standards, meeting attendance requirements, and achieving call quality goals. Communicating effectively with members and providers both orally and in written form. Demonstrating self-sufficiency and the ability to work from home with minimal supervision. Occasional commuting to the Princeton, NJ office may be required in cases of prolonged technical issues. Qualifications Essential Qualifications Must reside within 50 miles of Princeton, NJ, to facilitate occasional office visits when necessary. Ability to commit to the initial 6-week training schedule: 8:30 AM - 5:00 PM EST, Monday through Friday. Following training, the standard production schedule will be 8:30 AM - 5:00 PM EST, Monday through Friday. High school diploma or equivalent GED required. Effective communication skills, both verbal and written, to interact with members and providers. Capability to meet performance metrics, adhere to attendance policies, and maintain high call quality standards. Self-motivated and able to work from home with minimal supervision. Preferred Qualifications Experience in a remote call center setting, preferably in a health care or insurance environment. Familiarity with Medicaid and Medicare programs and their operations. Career Growth and Learning Benefits At arenaflex, we believe in the growth and development of our employees. By joining our team, you will have access to a wide range of learning opportunities, including free development courses and education assistance programs. These resources are designed to help you enhance your skills, advance in your career, and contribute to the evolution of our health care services. Work Environment and Company Culture arenaflex prides itself on a work environment that is inclusive, supportive, and focused on the well-being of our employees. Our Heart At Work Behaviors are not just a philosophy but a way of life, encouraging empathy, innovation, and collaboration among team members. By fostering a culture that values each individual's contribution, we aim to make arenaflex a place where you can grow professionally and personally. Compensation, Perks, and Benefits arenaflex offers a competitive pay range of $17.00 - $34.15 per hour for this role, depending on experience, education, and other relevant factors. Beyond compensation, our benefits package is designed to support your health, financial security, and personal well-being. This includes: A comprehensive range of medical, dental, and vision benefits. Eligibility to enroll in our 401(k) retirement savings plan and an Employee Stock Purchase Plan. A fully paid term life insurance plan and short-term and long-term disability benefits. Numerous well-being programs, education assistance, and free development courses. A CVS store discount and discount programs with participating partners. Paid Time Off (PTO), vacation pay, and paid holidays throughout the year, consistent with state law and company policies. Conclusion If you are passionate about delivering exceptional customer service and are looking for a role that offers growth opportunities, a supportive work environment, and a chance to make a difference in health care, we encourage you to apply for the Customer Service Representative position at arenaflex. Join our team and be part of a purpose-driven organization that puts its heart into caring for our colleagues, members, and communities. Apply today and take the first step towards a rewarding career with arenaflex. Apply for this job