**Experienced Customer Service Representative – Work From Home Opportunity at arenaflex**

At arenaflex, we're dedicated to delivering exceptional customer experiences that make a lasting impact on our clients' lives. As a Customer Service Representative, you'll play a vital role in bringing our heart to every moment of our customers' health, providing personalized support and guidance to help them navigate the complexities of healthcare. **About arenaflex** arenaflex is a leading healthcare company that's committed to transforming the way we deliver care. With a passion for innovation and a focus on customer-centricity, we're creating a new standard for healthcare that's more personal, convenient, and affordable. Our team is driven by a shared purpose: to bring our heart to every moment of our customers' health. **Our Heart At Work Behaviors** At arenaflex, we believe that our employees are the heartbeat of our organization. That's why we've developed our Heart At Work Behaviors, which support our purpose and guide our actions. These behaviors include: * Empathy: We put ourselves in our customers' shoes and understand their needs and concerns. * Accountability: We take ownership of our actions and decisions, and we're responsible for delivering exceptional results. * Collaboration: We work together as a team to achieve our goals and support each other in our roles. * Innovation: We're always looking for new and better ways to deliver care and improve our customers' experiences. * Respect: We treat our customers, colleagues, and partners with dignity and respect, and we value diversity and inclusion. **Job Summary** As a Customer Service Representative, you'll be the first point of contact for our customers, providing personalized support and guidance to help them navigate the complexities of healthcare. You'll work from home, using your excellent communication and problem-solving skills to resolve customer issues and provide exceptional service. **Key Responsibilities** * Answer customer calls, emails, and letters, and respond to their inquiries and concerns in a timely and professional manner. * Provide extensive claims research on multiple platforms to assist providers with payment questions. * Use customer service threshold framework to make financial decisions to resolve member issues. * Explain member's rights and responsibilities in accordance with contract. * Process claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system. * Educate and assist providers on our self-service options. * Assist providers with credentialing and re-credentialing and contracting questions and issues. * Assist in compiling claim data for customer audits. **Required Qualifications** * Must live in the state of Florida full-time. * Familiarity with Microsoft Office products. * Experience in highly transactional call center environment. * Excellent customer service and critical thinking skills. * High-speed internet access (25 mbps or higher) and consistent connection. * Work location must be set up with a direct connection to the router (NOT Wi-Fi). We provide a 6 ½ foot long ethernet cord, if the distance is further, you will be required to provide your own ethernet cable. **Education** * High School diploma or GED equivalent. **Work Environment and Company Culture** As a Customer Service Representative at arenaflex, you'll work from home, using your own computer and internet connection. You'll be part of a dynamic and supportive team that's passionate about delivering exceptional customer experiences. We offer a flexible and autonomous work environment that allows you to work at your own pace and manage your time effectively. **Compensation and Benefits** * The typical pay range for this role is: $17.00 - $25.15 per hour. * In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. arenaflex offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. arenaflex provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. We also offer numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. **Career Growth Opportunities and Learning Benefits** At arenaflex, we're committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including: * On-the-job training and coaching. * Online training and development courses. * Mentorship programs. * Leadership development programs. **How to Apply** If you're passionate about delivering exceptional customer experiences and want to join a dynamic and supportive team, we'd love to hear from you. Apply now to join our team and start your journey with arenaflex! Apply Job! Apply for this job