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Experienced Customer Service Representative - West Virginia Based

Work from home Full-time role Hiring

At arenaflex, we're committed to delivering exceptional customer experiences that exceed our members' expectations. As a key member of our team, you'll play a vital role in providing top-notch support to our Aetna Medicaid members and providers. If you're passionate about delivering outstanding service, have a strong work ethic, and thrive in a fast-paced environment, we want to hear from you!

About arenaflex

arenaflex is a leading healthcare company dedicated to transforming the way we deliver care. Our purpose is to bring our heart to every moment of our members' health, and we're committed to making healthcare more personal, convenient, and affordable. With a strong focus on innovation and customer-centricity, we're constantly looking for talented individuals who share our passion for excellence.

Our Heart At Work Behaviors

At arenaflex, we believe that our employees are the heart of our organization. Our Heart At Work Behaviors support our purpose and guide our actions every day. These behaviors include:

  • Empathy: We put ourselves in our members' shoes and understand their needs.
  • Collaboration: We work together as a team to achieve our goals.
  • Innovation: We're always looking for new and better ways to deliver care.
  • Accountability: We take ownership of our actions and results.
  • Integrity: We do the right thing, even when it's hard.

Position Summary

As a Member Service Representative, you'll be responsible for providing telephone assistance to Aetna Medicaid members and providers. You'll assist with a range of inquiries, including eligibility, provider changes, and requests for ID cards. We're looking for someone who is passionate about delivering exceptional customer service and can work effectively in a fast-paced environment.

Responsibilities

* Answer in-coming member and provider calls and respond to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.

  • Requires high-speed internet connectivity with secure service via ethernet cable, use of Wi-Fi is not permitted.
  • Company provides equipment and training.
  • Training Schedule: (First 6 weeks) 8:30 AM - 5:00 PM EST, Monday through Friday
  • Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday

Required Qualifications

* Must commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems

  • Ability to communicate effectively with members and providers orally and in written form, ability to meet performance standards, attendance requirements and call quality goals
  • Must be able to work from home and prove to be self-sufficient

Preferred Qualifications

* Experience with working remotely in a call center setting

  • Experienced with Medicaid and Medicare

Education

* High school diploma or equivalent

Pay Range

* The typical pay range for this role is: $17.00 - $25.15

  • This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Benefits

* arenaflex offers a full range of medical, dental, and vision benefits.

  • Eligible employees may enroll in the arenaflex 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.
  • arenaflex provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.
  • arenaflex offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
  • As for time off, arenaflex employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year.

COVID-19 Vaccination Requirement

* CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

  • You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment.

Equal Employment Opportunity

* arenaflex is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions.

  • If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

Join Our Team!

This is a fantastic opportunity to grow your career. If you have the skills and passion we're looking for, please submit your application today. Apply for this job

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