**Experienced Provider Customer Service Call and Chat Representative – Remote in TN**

Remote Full-time
At arenaflex, we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the healthcare system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work. **About arenaflex** arenaflex is a leading healthcare company dedicated to providing innovative solutions that improve the lives of our members. With a strong commitment to quality care and customer satisfaction, we strive to create a healthier community for everyone. Our team of passionate professionals is driven by a shared vision to make a positive impact on the lives of our members and the healthcare system as a whole. **Job Summary** We're seeking an experienced Provider Customer Service Call and Chat Representative to join our team in Tennessee. As a key member of our customer service team, you will be responsible for providing exceptional service to our healthcare providers, resolving issues, and answering questions related to benefits, eligibility, billing, and clinical authorizations. This is a full-time, remote position that offers a flexible schedule and the opportunity to work from the comfort of your own home. **Primary Responsibilities** As a Provider Customer Service Call and Chat Representative, you will be responsible for: * Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues * Service Providers in a multi-channel environment including call, concurrent chat, as required * Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices) * Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health) * Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction * Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner * Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types * Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution **Required Qualifications** * High School Diploma/GED or equivalent work experience * Must be 18 years of age or older * 1 year of customer service experience with analyzing and solving customer's concerns * Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications * Ability to type at the speed of greater than or equal to 35-40 WPM with an accuracy of 90% * Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9AM-5:30 PM CST from Monday-Friday. It may be necessary, given the business need, to work occasional overtime, weekends, and/or some holidays based on business need. **Preferred Qualifications** * Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as the primary job tools * Prior healthcare experience and knowledge of healthcare terminology **Telecommuting Requirements** * Reside within the state of Tennessee * Ability to keep all company-sensitive documents secure (if applicable) * Required to have a dedicated work area established that is separated from other living areas and provides information privacy * Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service. **Soft Skills** * Ability to multi-task, including the ability to type in multiple conversations * Ability to resolve calls and messages, avoiding escalated complaints * Time management skills * Emotional Intelligence and Empathy * Active Listening and Comprehension * Excellent written communication skills * Demonstrated problem-solving, organization, and interpersonal skills * Demonstrated experience consistently achieving quality and productivity standards **Benefits and Perks** * 12 weeks of paid training * Flexible schedule with the opportunity to work from home * Competitive compensation and benefits package * Opportunities for career growth and professional development * Collaborative and supportive work environment * Recognition and rewards for outstanding performance **Diversity, Equity, and Inclusion** At arenaflex, we believe that diversity creates a healthier atmosphere. We are an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. **How to Apply** If you're passionate about making a difference in the lives of our members and are looking for a challenging and rewarding career opportunity, apply now! Visit our website to learn more about our company culture and values, and to submit your application. Apply for this job
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