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Experienced Customer Service Representative – Healthcare Claims and Benefits Support

Work from home Full-time role Hiring

Join arenaflex in our mission to revolutionize healthcare administrative costs for federal government agencies, payers, and providers. As a Customer Service Representative, you will be at the forefront of delivering exceptional customer experiences, ensuring first call resolution, and achieving quality scores while maintaining production standards.

About You

Are you a people person with a passion for delivering top-notch customer service? Do you thrive in a fast-paced environment where no two calls are the same? We're looking for an exceptional individual who is enthusiastic about providing support to healthcare providers, veterans, and beneficiaries in Nebraska. As a Customer Service Representative at arenaflex, you will be responsible for answering incoming calls, gathering required information, and making determinations to ensure seamless claims and benefits processing.

Key Responsibilities

* Conduct every transaction with a customer-focused, courteous approach to ensure first call resolution and achieve quality scores while maintaining production standards.

  • Research and evaluate medical claims and benefits for proper adjudication using client systems, soft phone systems, and customer relationship management software.
  • Document call activity and make requests for corrective action into VA systems.
  • Maintain a working knowledge of applicable VA regulations as they relate to 72-hour notification requirements.
  • Maintain access for all client systems, as assigned.
  • Act as an effective team member, collaborating with colleagues to achieve common goals.
  • Perform other duties as assigned to ensure the success of arenaflex's mission.

Essential Qualifications

* High School Diploma or GED required.

  • 1-2 years' experience in customer service, preferably in a healthcare or claims-related environment.
  • General office skills and knowledge of standard office equipment.
  • Working knowledge of software such as Excel and Word.
  • Data entry and 10-key experience necessary.
  • Excellent verbal and written communication skills.
  • Personal traits of high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty, and integrity.

Preferred Qualifications

* Experience working with client systems, soft phone systems, and customer relationship management software.

  • Knowledge of VA regulations and 72-hour notification requirements.
  • Certification in customer service or a related field.
  • Bilingual or multilingual skills.

Skills and Competencies

* Excellent communication and interpersonal skills.

  • Strong problem-solving and analytical skills.
  • Ability to work in a fast-paced environment with multiple priorities.
  • Strong attention to detail and organizational skills.
  • Ability to maintain confidentiality and handle sensitive information.
  • Strong teamwork and collaboration skills.

Career Growth Opportunities and Learning Benefits

At arenaflex, we believe in fully developing each of our Associates. We offer a performance-driven atmosphere with competitive pay, world-class training and development classes, resources, and events, an award-winning culture where everyone thrives, and so much more. Some of the benefits we offer include:

  • Health Insurance for Our Associates
  • Fully Paid Life Insurance
  • Fully Paid Short- & Long-Term Disability
  • Paid Vacation
  • Paid Sick Leave
  • Paid Holidays
  • Professional Development and Tuition Assistance Program
  • 401(k) Program with Employer Match
  • Referral Bonuses
  • Hybrid & Remote Opportunities

Work Environment and Company Culture

As a Customer Service Representative at arenaflex, you will work in a dynamic and supportive environment where you will be encouraged to grow and develop your skills. Our company culture is built on the values of Passion, Courage, Integrity, and Respect, and we strive to create a workplace where everyone feels valued and empowered to make a difference.

Compensation, Perks, and Benefits

We offer a competitive salary and benefits package, including health insurance, fully paid life insurance, fully paid short- and long-term disability, paid vacation, paid sick leave, paid holidays, professional development and tuition assistance program, 401(k) program with employer match, referral bonuses, and hybrid and remote opportunities.

How to Apply

If you're a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at arenaflex.

U.S. Citizenship and Work Requirements

U.S. Citizenship is required for all positions, and work on all positions must be completed in the Continental United States, Alaska, or Hawaii. Apply for this job

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