At arenaflex, we are committed to delivering exceptional customer experiences that exceed our members' expectations. As a key member of our team, you will play a vital role in providing top-notch support to our members and providers, ensuring seamless interactions and resolving complex issues with ease. If you are a motivated and empathetic individual with a passion for delivering outstanding customer service, we encourage you to apply for this exciting opportunity.
**Job Summary:**
As a Non-Clinical Customer Service Representative, you will be responsible for handling daily member telephone calls, providing education, problem-solving, and creating linkages to the Medical Management Department for authorization of services. You will also assist providers with eligibility, benefit, and resolution of claims issues. This is a remote work-from-home position with onsite/virtual training, offering a flexible and dynamic work environment.
**Key Responsibilities:**
* Meet the Department standard of calls answered, and call documentation entered
* Assist Members and Providers with questions and concerns, including:
+ Finding Provider(s)/Services for members
+ Arranging Transportation for members
+ Answering billing/claims status questions; resolving claim issues for members
+ Assisting with pharmacy issues
+ Helping Members access community support services
+ Verifying member eligibility
+ Quoting benefits
+ Assisting with Referrals
+ Assisting with member health assessments
+ Assisting members with closing gaps in care
* Provide ongoing member education
* Responsible for all benefits information given to Members and Providers
* Participate in Departmental Projects, as appropriate
* Coordinate quality improvement initiatives with Medical Management, Provider Relations, and Quality Depts., i.e., Preventative Health Screenings
* Perform other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole
**Requirements:**
* 1 year of experience in a call center environment
* High School Diploma (proof not required)
* Spanish speaking required (please note in your profile)
* Bilingual applicants preferred (eligible for pay rate increase)
* Must reside in Indiana
* 52% markup need; contractors must make a facility-mandated $18.00 per hour
**Preferred Qualifications:**
* 1+ year of experience in a customer service role
* Bilingual (Spanish and English)
* Experience working in a healthcare or insurance environment
**What We Offer:**
* Competitive hourly rate
* Flexible remote work-from-home environment
* Ongoing training and development opportunities
* Collaborative and dynamic work environment
* Opportunities for career growth and advancement
* Comprehensive benefits package (including medical, dental, and vision insurance)
* Paid time off and holidays
* Access to exclusive employee discounts and perks
**Work Environment and Company Culture:**
At arenaflex, we value diversity, equity, and inclusion. We strive to create a workplace culture that is inclusive, respectful, and supportive of all employees. Our team is passionate about delivering exceptional customer experiences and making a positive impact on our members' lives. If you share our values and are committed to excellence, we encourage you to join our team.
**How to Apply:**
If you are a motivated and customer-focused individual with a passion for delivering outstanding service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online portal. We look forward to reviewing your application and discussing this opportunity further.
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