Experienced Remote Medical Customer Service Representative – Healthcare Advocate and Community Liaison

Introduction to arenaflex arenaflex is a leader in transforming the healthcare landscape by providing innovative solutions and exceptional customer service. As a remote medical customer service representative, you will play a vital role in acting as an advocate for our members and a liaison between our health plan and providers. Your primary goal will be to ensure the availability and access to care, promoting member education, and identifying and resolving systemic barriers that limit access to appropriate care. Job Overview In this expert-level role, you will be responsible for receiving and responding to member complaints and formal grievances, identifying potential access barriers, and resolving them in accordance with our grievance procedure. You will investigate and resolve access and cultural sensitivity issues, participate in local community organizations to acquire knowledge and insight regarding the special healthcare needs of our members, and update and revise educational materials as necessary. Key Responsibilities: Act as a primary contact for member advocacy groups, human services agencies, and state entities, ensuring seamless communication and collaboration. Establish a community presence, promoting member education and identifying areas for improvement in our healthcare services. Investigate and resolve access and cultural sensitivity issues, ensuring that our members receive the highest level of care and support. Maintain confidentiality per HIPAA guidelines, ensuring the protection of sensitive member information. Participate in local community organizations to stay informed about the special healthcare needs of our members and update our educational materials accordingly. Collaborate with our team to identify and resolve systemic barriers that limit access to care, ensuring that our members receive the best possible outcomes. Essential Qualifications: To be successful in this role, you will need: A high school diploma or equivalent, demonstrating a strong foundation in education. At least 3 years of customer service experience in a healthcare environment, showcasing your ability to work in a fast-paced and dynamic setting. Medicare and/or Medicaid experience, preferred, to ensure a deep understanding of the healthcare landscape and the needs of our members. Bilingual skills in Spanish, preferred, to effectively communicate with our diverse member population. Preferred Qualifications: While not required, the following qualifications will make you a stronger candidate: Experience working in a remote or virtual environment, demonstrating your ability to work independently and manage your time effectively. Knowledge of healthcare regulations and laws, including HIPAA, to ensure compliance and confidentiality. Excellent communication and interpersonal skills, with the ability to build strong relationships with our members, providers, and community organizations. Skills and Competencies: To excel in this role, you will need to possess: Excellent customer service skills , with the ability to empathize with our members and provide personalized support. Strong communication and interpersonal skills , with the ability to build strong relationships with our members, providers, and community organizations. Ability to work in a fast-paced and dynamic environment , prioritizing tasks and managing your time effectively. Strong problem-solving and analytical skills , with the ability to identify and resolve complex issues. Knowledge of healthcare regulations and laws , including HIPAA, to ensure compliance and confidentiality. Career Growth Opportunities and Learning Benefits: At arenaflex, we are committed to the growth and development of our team members. As a remote medical customer service representative, you will have access to: Comprehensive training programs, designed to enhance your skills and knowledge in healthcare and customer service. Ongoing coaching and feedback, to ensure you have the support and guidance you need to succeed. Opportunities for advancement, with a clear path for career growth and professional development. A dynamic and supportive team environment, with a culture of collaboration and innovation. Work Environment and Company Culture: arenaflex is a leader in the healthcare industry, with a strong commitment to our members and our team members. Our company culture is built on: Integrity and transparency , with a focus on doing what is right for our members and our community. Collaboration and teamwork , with a dynamic and supportive team environment. Innovation and creativity , with a focus on finding new and better ways to deliver healthcare services. Diversity and inclusion , with a commitment to embracing and celebrating the diversity of our team members and our community. Compensation, Perks, and Benefits: arenaflex offers a competitive compensation package, with a range of perks and benefits, including: A competitive salary, with opportunities for bonuses and incentives. Comprehensive health insurance, with medical, dental, and vision coverage. 401(k) matching, with a generous employer contribution. Paid time off, with vacation, sick leave, and holidays. A dynamic and supportive team environment, with a culture of collaboration and innovation. Conclusion: If you are a motivated and compassionate individual, with a passion for delivering exceptional customer service and making a difference in the lives of our members, we encourage you to apply for this exciting opportunity. As a remote medical customer service representative at arenaflex, you will be part of a dynamic and supportive team, with a commitment to excellence and a focus on delivering the highest level of care and support to our members. Apply today and take the first step towards a rewarding and challenging career in healthcare! Apply for this job