Experienced Customer Service Representative – Remote Opportunity with arenaflex

At arenaflex, we are a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. Our mission is to help people live healthier and more satisfying lives, and we're looking for a talented Customer Service Representative to join our team. As a Customer Service Representative with arenaflex, you will play a vital role in leading our organization forward by providing exceptional service to our members. You will be part of a dynamic organization that values the talents and abilities of all our employees and fosters an open, cooperative, and dynamic environment in which employees and the health plans can thrive.

About arenaflex

arenaflex is a leading health care organization with a culture of high performance. Our organization includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. We operate Michigan's largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

Position Summary

As a Customer Service Representative, you will be responsible for daily member telephone calls, which will include directing members to the proper services needed, educating members, problem-solving, and creating linkages to the Medical Management Department for authorization of services. You may also be responsible for assisting providers with eligibility, benefit, and resolution of claims issues.

Key Responsibilities

* Respond to member inquiries via telephone, email, chat, and/or face-to-face

• Direct members to the proper services needed
• Educate members on health plan benefits and services
• Problem-solve and resolve member issues
• Create linkages to the Medical Management Department for authorization of services
• Assist providers with eligibility, benefit, and resolution of claims issues

Essential Qualifications

* High School Diploma or equivalent certification

• One (1) year experience in a customer service related role with direct contact with customers via telephone, email, chat, and/or face-to-face

Preferred Qualifications

* One (1) year experience in a physician health care office environment or high-volume call center

• One (1) year experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions

Skills and Competencies

* Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment
• Strong problem-solving and analytical skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office and other software applications

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to the growth and development of our employees. We offer a range of training and development opportunities, including:

• On-the-job training and mentorship
• Continuing education and professional development opportunities
• Career advancement opportunities within the organization

Work Environment and Company Culture

arenaflex is a dynamic and supportive work environment that values the talents and abilities of all our employees. We foster an open, cooperative, and dynamic environment in which employees and the health plans can thrive. Our organization is committed to diversity, equity, and inclusion, and we strive to create a workplace that is welcoming and inclusive for all employees.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including:

• Competitive salary and benefits
• Comprehensive health insurance
• Retirement savings plan
• Paid time off and holidays
• Opportunities for career advancement and professional development

How to Apply

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information].

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

Join our team and make a difference in the lives of our members!

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