**Experienced Customer Service Representative – Medicaid and Medicare Support**

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a dynamic, fast-paced environment where no two calls are ever the same? If so, we invite you to join arenaflex as an Experienced Customer Service Representative, providing critical support to Aetna Medicaid members and providers across the country. At arenaflex, we're committed to transforming the healthcare landscape by delivering innovative solutions that put patients at the forefront. Our purpose is simple yet powerful: to bring our heart to every moment of your health. This guiding principle inspires our team to strive for excellence in everything we do, from the services we provide to the relationships we build. As a valued member of our team, you'll play a vital role in helping us achieve this purpose. You'll be part of a collaborative, supportive environment where your skills, experience, and passion for customer service will be valued and nurtured. Whether you're working from home or in our Charleston, WV office, you'll have the opportunity to make a real difference in the lives of our members and providers. **About the Role** As an Experienced Customer Service Representative, you'll be responsible for providing telephone assistance to Aetna Medicaid members and providers. Your primary focus will be on answering inbound calls, responding to inquiries, and resolving issues related to benefits, eligibility, services, prior authorization requirements, extra benefits, and programs. You'll also be responsible for: * Answering incoming member and provider calls and responding to inquiries * Providing accurate and timely information regarding benefits, eligibility, services, and prior authorization requirements * Resolving issues and concerns in a professional, courteous, and empathetic manner * Maintaining confidentiality and adhering to all relevant policies and procedures * Collaborating with internal teams to resolve complex issues and improve customer satisfaction **Requirements and Qualifications** To be successful in this role, you'll need: * A high school diploma or equivalent * Excellent communication and interpersonal skills, with the ability to effectively interact with members and providers * Strong problem-solving and critical thinking skills, with the ability to analyze complex issues and develop effective solutions * Ability to work in a fast-paced, dynamic environment with multiple priorities and deadlines * Strong technical skills, with the ability to navigate multiple systems and software applications * Ability to work from home and be self-sufficient, with reliable high-speed internet connectivity and a secure service via ethernet cable * Ability to commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems **Preferred Qualifications** * Experience working in a call center environment, with a focus on Medicaid and Medicare support * Strong knowledge of Medicaid and Medicare policies, procedures, and regulations * Experience working with electronic health records (EHRs) and other healthcare software applications * Certification in customer service, such as Certified Customer Service Representative (CCSR) or Certified Call Center Professional (CCCP) **Education and Training** arenaflex is committed to providing our team members with the training and resources they need to succeed. As an Experienced Customer Service Representative, you'll receive comprehensive training on our systems, policies, and procedures, as well as ongoing coaching and feedback to help you grow and develop in your role. **Compensation and Benefits** arenaflex offers a competitive compensation package, including: * A base hourly rate of $17.00 - $25.15, depending on experience and qualifications * Opportunities for career growth and advancement * Comprehensive benefits package, including medical, dental, and vision insurance * 401(k) retirement savings plan and Employee Stock Purchase Plan * Paid Time Off (PTO) and paid holidays * Free development courses and training programs * CVS store discount and discount programs with participating partners **Work Environment and Culture** arenaflex is committed to creating a work environment that is inclusive, supportive, and empowering. Our team members are passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others. We believe in: * Empowering our team members to take ownership of their work and make decisions that drive results * Fostering a culture of collaboration, innovation, and continuous improvement * Providing ongoing training and development opportunities to help our team members grow and develop in their roles * Recognizing and rewarding outstanding performance and contributions to the team **How to Apply** If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others, we invite you to apply for this exciting opportunity. Please visit our website at [arenaflex.com/careers]( to learn more about this role and submit your application. **Equal Employment Opportunity** arenaflex is an equal opportunity employer, committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. We strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution. Apply for this job