**Experienced Customer Service Representative (Remote) – Healthcare Quality Improvement and Care Management**

At arenaflex, we're on a mission to revolutionize the way healthcare is delivered across the nation. With a rapidly growing presence and a commitment to quality improvement, we're seeking an experienced Customer Service Representative to join our team. As a key player in our care management organization, you'll have the opportunity to make a real difference in the lives of millions of people. **About arenaflex** arenaflex is a national quality improvement and care management organization dedicated to ensuring that individuals receive the right care, at the right time, in the right setting. With a strong focus on people and mission, we're driven to improve lives through healthcare quality and clinical expertise. Our team is passionate about delivering exceptional care and making a meaningful impact on the healthcare landscape. **Why Join arenaflex?** As a Customer Service Representative at arenaflex, you'll be part of a dynamic team that's shaping the future of healthcare. You'll have the opportunity to work with a talented group of professionals who share your passion for quality improvement and care management. Our organization is built on a foundation of care, compassion, and expertise, and we're committed to providing our employees with the training, support, and resources they need to succeed. **Benefits of Working at arenaflex** At arenaflex, we believe that our employees are our greatest asset. That's why we offer a comprehensive benefits package designed to provide you and your family with additional protection, security, and support. Our benefits include: * Comprehensive health plans * Paid time off * Retirement savings * Corporate wellness programs * Educational assistance * Corporate discounts * And many more! **Key Responsibilities** As a Customer Service Representative at arenaflex, you'll be responsible for: * Developing and maintaining working knowledge of internal policies, procedures, and services * Utilizing automated systems to log and retrieve information, and performing accurate and timely data entry of electronic faxes * Receiving inquiries from customers or providers by telephone, email, fax, or mail, and communicating responses within required turnaround times * Responding to telephone inquiries and complaints in a prompt, accurate, and courteous manner, following standard operating procedures * Interacting with hospitals, physicians, beneficiaries, or other program recipients * Investigating and resolving or reporting customer problems, identifying and escalating difficult situations to the appropriate party * Meeting or exceeding standards for call volume and service level per department guidelines * Initiating files by collecting and entering demographic, provider, and procedure information into the system * Serving as a liaison between Review Supervisors and external providers * Maintaining logs and documents disposition of incoming and outgoing calls **Essential Qualifications** To be successful in this role, you'll need: * A High School diploma or equivalent * Medical terminology course(s) helpful * 2+ years of customer service/telephone experience in a similar call center environment and/or industry **Knowledge, Skills, and Abilities** * Knowledge of: + Medical terminology + Health insurance industry * Ability to: + Speak English fluently enough to be clearly understood over the telephone + Use phone system effectively + Research and investigate + Follow confidentiality policies and procedures + Navigate and use electronic equipment and systems easily and proficiently + Multitask on a personal computer while conducting telephone conversations + Work in a fast-paced call center environment + Remain calm and courteous when handling difficult calls and requests * Skills: + Bilingual Spanish-English a plus + Effective verbal and listening skills to provide courteous and professional customer service + Effective PC skills, including electronic mail, intranet, and industry-standard applications **What We Offer** As a Customer Service Representative at arenaflex, you'll have the opportunity to: * Work in a dynamic and fast-paced environment * Develop your skills and expertise in a supportive and collaborative team * Make a real difference in the lives of millions of people * Enjoy a comprehensive benefits package and competitive compensation * Pursue career growth opportunities and learning benefits **How to Apply** If you're passionate about quality improvement and care management, and you're looking for a challenging and rewarding role, we encourage you to apply. Please submit your application through our website, and we'll be in touch to discuss your qualifications further. **Equal Opportunity Employer** arenaflex is an Equal Opportunity Employer. We welcome applications from diverse candidates and are committed to providing a workplace that is inclusive and respectful of all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Apply for this job