Experienced Customer Service Representative – Remote Medicare Appeal Support and Resolution Specialist at arenaflex

Introduction to arenaflex arenaflex is a pioneering force in the healthcare industry, dedicated to empowering better health outcomes through innovative technology, exceptional services, and clinical expertise. Our mission is to create health solutions that deliver maximum value and impact, and we're committed to making a meaningful difference in the lives of individuals across the country. At arenaflex, we believe in the power of collaboration, creativity, and compassion, and we're passionate about fostering a work environment that's inclusive, supportive, and inspiring. Job Summary We're seeking a highly skilled and dedicated Customer Service Representative to join our growing team at arenaflex. As a Customer Service Representative, you will play a vital role in supporting the Medicare Appeal process, providing exceptional service to our customers, and resolving their questions, complaints, and requests in a prompt, accurate, and courteous manner. This is a remote position, offering you the flexibility to work from the comfort of your own home and enjoy a better work-life balance. Key Responsibilities As a Customer Service Representative at arenaflex, your key responsibilities will include: Developing and maintaining a working knowledge of internal policies, procedures, and services, including departmental and operational protocols Utilizing automated systems to log and retrieve information, performing accurate and timely data entry of electronic faxes, and maintaining up-to-date records Receiving and responding to customer inquiries via telephone, email, fax, or mail, and communicating responses within required turnaround times Investigating and resolving customer problems, identifying and escalating difficult situations to the appropriate party, and ensuring that all issues are addressed in a professional and courteous manner Meeting or exceeding standards for call volume and service level per department guidelines, and continuously striving to improve performance and quality Initiating files by collecting and entering demographic, provider, and procedure information into the system, and serving as a liaison between Review Supervisors and external providers Maintaining logs and documenting the disposition of incoming and outgoing calls, and ensuring that all customer interactions are thoroughly documented and recorded Essential Qualifications To be successful in this role, you will need: A High School diploma or equivalent At least 2 years of customer service or telephone experience in a similar call center environment or industry Excellent communication skills, with the ability to effectively communicate with team members and external customers The ability to research and resolve issues related to Medicaid programs and service eligibility Fluency in Spanish and English (bilingual) Preferred Qualifications While not essential, the following qualifications are highly desirable: Previous experience in a medical office or other medical setting General knowledge of eligibility verification, Medicaid eligibility, and program requirements Familiarity with CPT and HCPCS codes PC proficiency, including Microsoft Office Suite Experience with Microsoft programs Skills and Competencies To excel in this role, you will need to possess: Excellent customer service skills, with a strong focus on empathy, active listening, and problem-solving Strong communication and interpersonal skills, with the ability to build rapport with customers and colleagues Ability to work in a fast-paced environment, prioritizing tasks and managing multiple responsibilities Strong analytical and problem-solving skills, with the ability to investigate and resolve complex issues Ability to maintain confidentiality and handle sensitive information with discretion Career Growth and Development At arenaflex, we're committed to helping our employees grow and develop in their careers. As a Customer Service Representative, you will have access to: Comprehensive training and onboarding programs, designed to help you succeed in your role Ongoing coaching and feedback, to help you continuously improve and develop your skills Opportunities for career advancement, with a clear path for professional growth and development A supportive and collaborative work environment, with a team of experienced and caring professionals Work Environment and Company Culture At arenaflex, we're proud of our company culture, which is built on the values of compassion, creativity, and collaboration. As a Customer Service Representative, you will be part of a dynamic and inclusive team, with a shared passion for delivering exceptional customer service and making a meaningful difference in the lives of others. Our work environment is supportive, flexible, and inspiring, with a range of benefits and perks designed to help you thrive, including: Comprehensive health plans, with a range of options to suit your needs Paid time off, to help you relax and recharge Retirement savings, to help you plan for the future Corporate wellness programs, to help you stay healthy and active Education assistance, to help you develop your skills and knowledge Corporate discounts, to help you save money and enjoy exclusive benefits Compensation and Benefits The pay range for this position is $15.85 - $18.20 per hour, depending on experience and qualifications. Our benefits package is designed to provide you with additional protection, security, and support, both in your career and in your life away from work. Conclusion If you're a motivated and compassionate individual, with a passion for delivering exceptional customer service and making a meaningful difference in the lives of others, we encourage you to apply for this exciting opportunity at arenaflex. As a Customer Service Representative, you will be part of a dynamic and inclusive team, with a shared commitment to excellence and a passion for innovation. Don't miss this chance to join our team and take your career to the next level – apply today! Apply for this job