Remote Customer Service Representative - Full Time with Excellent Benefits and Career Growth Opportunities

Join the Arsenault Team: Make a Difference in Healthcare At Arsenault, a rapidly growing national quality improvement and care management organization, we're on a mission to ensure that over 20 million people receive the right care, at the right time, in the right setting. We're a people-focused organization driven by a passion to improve lives through healthcare quality and clinical expertise. If you're a motivated and customer-oriented individual looking for a new challenge, we invite you to join our team as a Remote Customer Service Representative. About the Role As a Customer Service Representative, you will be the primary point of contact for our Review Team, providing exceptional customer service support to beneficiaries and providers via the helpline. You'll be responsible for creating, formatting, and proofreading letters, as well as maintaining timeliness and making decisions regarding complex appeals. This is a fantastic opportunity to work in a dynamic environment where you'll be making a real difference in the lives of individuals across the country. Key Responsibilities Provide customer service support to beneficiaries and providers via the helpline, responding to inquiries and resolving issues in a timely and professional manner. Create, format, and proofread letters, ensuring accuracy and attention to detail. Maintain timeliness and prioritize assignments to meet productivity and quality standards. Foster effective working relationships with internal and external customers, promoting a positive and collaborative work environment. Participate in identifying areas for potential improvement, contributing to the growth and development of our Review Team. Utilize internal quality control tools to assess individual work and team processes, driving continuous improvement. Answer the Beneficiary Helpline, determining the best course of action to assist callers and referring them to external agencies as needed. Validate notices and medical records, ensuring accuracy and completeness. Provide intake for all appeals received by Arsenault, processing and managing appeals in a timely and efficient manner. Essential Qualifications To be successful in this role, you'll need: A high school diploma or equivalent. Post-high school business courses or relevant training. Medical terminology knowledge or willingness to learn. Excellent verbal and written communication skills, with a customer-oriented and patient demeanor. The ability to maintain composure under potentially stressful situations and prioritize assignments effectively. Good grammar, punctuation, spelling, and written communications skills. A customer-focused and results-oriented mindset, with the ability to build and maintain relationships with internal and external customers. General knowledge of PC-based computer systems and software packages, with the ability to learn new systems as needed. Preferred Qualifications While not required, the following qualifications are highly desirable: 2-3 years of clerical experience, including word processing, filing systems, and telephone customer service responsibilities. Prior work experience in a healthcare setting or medical terminology knowledge. Previous data entry or other clerical experience. What We Offer At Arsenault, we're committed to providing a comprehensive rewards package that includes: Full benefits (medical, dental, vision, etc.) effective the first month following your hire date. Paid time off for a great work-life balance. A 401(k) plan with a company match and no vesting period. Opportunities for career growth and professional development. A dynamic and supportive work environment that values diversity and inclusion. Work Environment and Company Culture As a Remote Customer Service Representative, you'll have the flexibility to work from home and enjoy a rotational shift schedule that accommodates EST, CT, or PST time zones. We're a mission-driven organization that cares deeply about our employees and provides the training and support needed to excel in your role. Career Growth and Development At Arsenault, we're committed to helping you grow and develop your skills. You'll have access to ongoing training and development opportunities, as well as the chance to work on complex and challenging projects that make a real difference in the healthcare industry. Compensation and Benefits While we can't disclose specific compensation details, we can assure you that our rewards package is competitive and designed to attract and retain top talent. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, and corporate discounts, among others. Why Join Arsenault? If you're a motivated and customer-oriented individual looking for a new challenge, we invite you to join our team. At Arsenault, you'll have the opportunity to make a real difference in the lives of individuals across the country, while enjoying a dynamic and supportive work environment that values diversity and inclusion. We're an Equal Opportunity Employer, committed to providing equal consideration for employment to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Apply Now! If you're ready to join a team that makes a difference in healthcare, we encourage you to apply for this exciting opportunity. Please submit your application, and our Talent Acquisition Team will review it carefully. While we can't guarantee a response to every application, we appreciate your interest in Arsenault and invite you to apply to future openings that may be of interest. Thank you for considering Arsenault as your next career step! Apply for this job