Experienced Physician Advisory Services Customer Service Representative – Claims Management and Client Support

Join arenaflex, a fast-paced and innovative company, as we seek an experienced and detail-oriented Customer Service Representative to support our Physician Advisory Services team. As a key member of our team, you will play a vital role in ensuring the smooth operation of our claims management process, providing exceptional client support, and contributing to the growth and success of arenaflex.

About arenaflex

arenaflex is a leading provider of customized Independent Medical Exams and Peer Review programs, serving over 200,000 insurance claims annually for top national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. Our high-performance culture and commitment to excellence have earned us a spot on the Inc. 500 list.

Job Summary

As a Customer Service Representative, you will be responsible for the receipt of new cases, ensuring proper system drafting and setup, and facilitating the case assignment/scheduling process. You will work closely with clients to gather information, resolve issues, and provide timely updates on case progress. Your exceptional communication skills, critical thinking, and ability to meet deadlines will be essential in delivering exceptional client service and supporting the growth of arenaflex.

Available Shifts

We offer flexible scheduling to accommodate your needs, with available shifts from 9:30 am to 6:00 pm EST and 10:00 am to 6:30 pm EST.

Major Duties & Responsibilities

* Handling Receipt of New Cases: + Intake new cases and review/verify information and requests + Draft cases by entering information into the arenaflex system, AccessDS + Work with clients on any information missing pertinent to processing claims + Sort, organize, and create medical document listings, if required by clients, and in line with specific special handling

• Assignment of Cases:

+ Assign/schedule new cases to physicians for review with the appropriate physician, based on location, reviewer availability, specific guidelines, jurisdictional requirements, and other client requirements + Ensure that the assigned physician has no conflict of interest with the case assignment

• Oversight of Cases:

+ Monitor, process, and track cases to ensure we meet deadlines

• Client Interaction:

+ Update clients frequently on cases in progress + May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer + Ensure proper documentation for specified cases is provided to the client

• Other duties & special projects, as assigned and based on business needs

Requirements

* EDUCATION/CREDENTIALS: + An Associate's Degree is preferred

• JOB RELEVANT EXPERIENCE:

+ Business experience in a healthcare and/or insurance setting is preferred

• JOB RELATED SKILLS/COMPETENCIES:

+ Present exceptional communication skills with a clear understanding of company business lines + The ability to apply critical thinking, manage time efficiently, and meet specific deadlines + Computer literacy and typing skills are essential

Working Conditions/Physical Demands

* Any lifting, bending, traveling, etc. required to do the job duties listed above

• Long periods of sitting and computer work

Work from Home Technical Requirements

* Supply and support their own internet services

• Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions

Benefits

Join our team at arenaflex and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits, including:

• Medical, dental, and vision coverage for you and your family
• Voluntary life insurance options for you, your spouse, and your children
• Other voluntary benefits, including hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Basic life insurance, short-term disability, and long-term disability coverage at no cost
• A generous paid time off policy to ensure you have time to relax and recharge
• A 401k plan with a company match to help you plan for your future
• Apple equipment and a media stipend for remote workspace

Why Join arenaflex?

* Be part of a fast-paced and innovative company that is changing the face of claims management

• Work with a talented and dedicated team that is passionate about delivering exceptional client service
• Enjoy a comprehensive benefits package that supports your well-being and peace of mind
• Have opportunities for career growth and professional development
• Be part of a company that is committed to excellence and making a difference in the lives of our clients and their customers

How to Apply

If you are a motivated and detail-oriented individual who is passionate about delivering exceptional client service, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience and qualifications for this role. We look forward to hearing from you! Apply for this job