Experienced Customer Service Representative – Remote Full-Time Opportunity with Competitive Hourly Rate and Comprehensive Benefits at arenaflex

Introduction to arenaflex At arenaflex, we share a singular, clear purpose: bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-driven healthcare for a rapidly changing world. Embedded in our brand – with heart at its center – our mission sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose, empowering each individual who works at arenaflex to feel enabled by the role they play in transforming our culture and accelerating our ability to grow and deliver solutions to make healthcare more personal, convenient, and affordable. Job Overview We are seeking an experienced and compassionate Customer Service Representative to join our team at arenaflex. As the face of our company, you will influence our members' service experience by handling customer care requests and issues via phone, web, or written correspondence. Your ability to engage, consult, and educate our members based on their unique needs, preferences, and understanding of arenaflex plans, tools, and resources will guide them along a pathway to care. This is a full-time, remote opportunity with a competitive hourly rate and comprehensive benefits. Key Responsibilities Respond to questions and resolve issues based on calls/letters from members, providers, and plan sponsors. Escalate emergencies to appropriate staff and record and track contacts with members, providers, and plan sponsors. Guide members through their individual plan of benefits, arenaflex policy, and procedures, as well as knowledge of resources to comply with any regulatory requirements. Make a personal connection with our members by understanding and engaging the member to the fullest to support their best health. Taking ownership to understand the member's needs by building a trusting and caring relationship with the member completely. Anticipate customer needs and provide the customer with relevant information to address unasked questions, such as additional plan details, benefit plan details, member self-service tools, etc. Utilize customer support limit framework to make financial decisions to resolve member issues. Explain member limitations as per contract. Process claim referrals, new case handoffs, nurse reviews, complaints (member/provider), and appeals (member/provider) via target system. Educate providers on our self-service options and assist providers with credentialing and re-credentialing issues. Essential Qualifications To be successful in this role, you will need: A Bachelor's Degree or equivalent experience. Customer service experience in a transaction-based environment, such as a call center or retail store, with a proven ability to be empathetic and compassionate. Experience in a production environment with the ability to perform multiple tasks efficiently to achieve responsibility. Understanding of medical terminology and capable oral and written communication skills. Proficiency with Microsoft Word and Outlook. Ability to maintain accuracy and production standards. Excellent communication and problem-solving skills, with attention to detail and precision. Preferred Qualifications While not required, the following qualifications are preferred: Previous experience in a healthcare or insurance setting. Knowledge of arenaflex plans, tools, and resources. Experience with customer support limit framework and financial decision-making. Ability to work in a fast-paced environment with multiple priorities and deadlines. Career Growth and Learning Benefits At arenaflex, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to a range of training and development opportunities, including: Comprehensive onboarding program to ensure your success in the role. Ongoing training and development opportunities to enhance your skills and knowledge. Opportunities for advancement and career growth within the company. Recognition and reward programs to acknowledge your achievements and contributions. Work Environment and Company Culture At arenaflex, we pride ourselves on our positive and supportive work environment. As a remote employee, you will be part of a virtual team that is committed to delivering exceptional customer service and supporting each other's success. Our company culture is built on the values of empathy, compassion, and excellence, and we are looking for individuals who share these values and are passionate about making a difference in the lives of our members. Compensation, Perks, and Benefits In addition to a competitive hourly rate, arenaflex offers a range of benefits, including: Comprehensive medical, dental, and vision benefits. 401(k) retirement savings plan with company match. Employee Stock Purchase Plan. Paid time off (PTO) and holidays. Wellness programs and employee assistance programs. Education assistance and tuition reimbursement. Free development courses and training opportunities. Conclusion If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity at arenaflex. As a Customer Service Representative, you will play a critical role in supporting the health and well-being of our members, and we are committed to supporting your success and growth in this role. Apply now to join our team and be part of a company that is dedicated to making a difference in the lives of our members. Apply for this job