Experienced Healthcare Customer Service Representative – Remote Opportunity for Delivering Exceptional Patient Care and Support

Introduction to arenaflex arenaflex is a leading organization in the healthcare industry, dedicated to providing top-notch services that improve the lives of patients and healthcare professionals alike. With a strong commitment to excellence and a passion for delivering exceptional customer experiences, arenaflex is now seeking an experienced and skilled Healthcare Customer Service Representative to join its team. As a remote worker, you will have the opportunity to make a meaningful impact on the lives of patients while enjoying the flexibility and comfort of working from your own home. Job Overview In this critical role, you will be responsible for providing outstanding customer service to patients, handling inbound and outbound calls, and performing administrative tasks to ensure seamless operations. With a focus on utilization review, claims processing, and coordinated care, you will be an integral part of the arenaflex team, working closely with healthcare professionals to deliver high-quality patient care. If you are a motivated and compassionate individual with a strong background in healthcare customer service, we encourage you to apply for this exciting opportunity. Key Responsibilities Assist in activities related to the medical and psychological aspects of utilization and coordinated care, ensuring that patients receive the best possible support and guidance. Make outreach attempts via telephone to members assigned each day, providing timely and effective communication to address their needs and concerns. Consistently update an Excel spreadsheet with member assignments listed, maintaining accurate and up-to-date records to inform decision-making and improve patient outcomes. Communicate effectively with supervisors and other stakeholders, ensuring that all parties are informed and aligned on patient care and support initiatives. Document all interactions with patients and members in Virtual Health, maintaining detailed and accurate records to ensure compliance with regulatory requirements and arenaflex standards. Performance Expectations To be successful in this role, you will be expected to meet the following performance expectations: Make a high volume of outbound calls to patients and members, ensuring that all assigned members are contacted and supported in a timely and effective manner. Demonstrate a strong understanding of medical terminology, utilizing this knowledge to provide accurate and informed support to patients and healthcare professionals. Maintain reliable home internet and a dedicated workspace, ensuring that all work is performed in a secure and compliant environment that meets HIPAA requirements. Complete 80-120 phone calls per day to the Medicare population, ensuring that all patients and members receive the support and guidance they need to navigate the healthcare system. Achieve a compliance rate of 100% for all assigned members, ensuring that all regulatory requirements and arenaflex standards are met or exceeded. Meet or exceed an engagement rate of 80% per month, demonstrating a strong commitment to patient care and support. Maintain an audit score of at least 90%, ensuring that all work is performed to the highest standards of quality and compliance. Complete 600 member assignments per month, ensuring that all patients and members receive the support and guidance they need to achieve optimal health outcomes. Qualifications and Skills To be considered for this exciting opportunity, you will need to meet the following qualifications and skills: 2-3 years of experience in a managed care setting, medical office, or facility setting, with a demonstrated ability to perform medical administration duties. Thorough knowledge of customer service, utilization review, or claims processing practices in a managed care environment, with a strong understanding of the healthcare industry and its regulatory requirements. Operation of office equipment, including personal computers, and proficiency in Microsoft Office applications, including Excel. Strong knowledge of medical terminology, with the ability to apply this knowledge in a practical and effective manner. Excellent time management and organizational skills, with the ability to prioritize tasks and manage multiple assignments in a fast-paced environment. Strong communication skills, with the ability to effectively interact with patients, healthcare professionals, and other stakeholders. High school diploma or equivalent, with a strong educational foundation in healthcare or a related field. Basic knowledge of Microsoft Office, with the ability to learn and adapt to new software applications and systems. Career Growth and Development At arenaflex, we are committed to the growth and development of our employees, providing opportunities for training, education, and advancement. As a Healthcare Customer Service Representative, you will have the opportunity to develop your skills and knowledge in a dynamic and supportive environment, with access to ongoing training and professional development initiatives. Whether you are looking to advance your career in healthcare or transition into a new role, arenaflex offers a range of opportunities for growth and development. Work Environment and Company Culture arenaflex is a dynamic and supportive organization, committed to delivering exceptional customer experiences and improving the lives of patients and healthcare professionals. Our company culture is built on a foundation of respect, empathy, and compassion, with a strong focus on teamwork, collaboration, and open communication. As a remote worker, you will be an integral part of our team, working closely with colleagues and stakeholders to deliver high-quality patient care and support. With a range of benefits and perks, including flexible working hours, professional development opportunities, and a comprehensive compensation package, arenaflex offers a unique and rewarding work environment that is designed to support your success and well-being. Compensation and Benefits arenaflex offers a competitive compensation package, with a pay rate of $20.00 per hour and opportunities for overtime and bonuses. In addition to our comprehensive compensation package, we offer a range of benefits and perks, including: Flexible working hours and remote work arrangements, designed to support your work-life balance and overall well-being. Professional development opportunities, including training, education, and advancement initiatives. A comprehensive benefits package, including health, dental, and vision insurance, as well as retirement savings and other perks. A dynamic and supportive work environment, with a strong focus on teamwork, collaboration, and open communication. Opportunities for advancement and career growth, with a range of roles and responsibilities available within the organization. Conclusion If you are a motivated and compassionate individual with a strong background in healthcare customer service, we encourage you to apply for this exciting opportunity. As a Healthcare Customer Service Representative at arenaflex, you will have the opportunity to make a meaningful impact on the lives of patients, while enjoying the flexibility and comfort of working from your own home. With a range of benefits and perks, including flexible working hours, professional development opportunities, and a comprehensive compensation package, arenaflex offers a unique and rewarding work environment that is designed to support your success and well-being. Apply today to join our team and start making a difference in the lives of patients and healthcare professionals alike! Apply for this job