Experienced Remote Healthcare Customer Service Advocate - South Carolina

Join arenaflex, a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide, as a Remote Healthcare Customer Service Advocate. In this role, you will play a crucial part in delivering exceptional customer service to our clients and their members, ensuring their satisfaction on calls. As a key contributor to our team, you will be responsible for accurately and efficiently reading and relaying information to members, providing a high level of professionalism and customer service in all interactions.

About arenaflex

arenaflex is a mission-critical partner to healthcare plans nationwide, providing claims processing services, including digital transformation, claims adjudication, and member and provider engagement services. We serve over 70 health plans, processing millions of claims and multiple data elements annually. Our innovative workflow technology platform, JetStreamTM, helps with traceability, governance, and automation of claims operations for our clients. arenaflex is headquartered in Tampa, operates 10 regional offices throughout the U.S., and has a wholly owned global delivery center in the Philippines.

What We Offer

* Paid training period

• Medical, Dental, Life, Vision, HSA, 401K
• Paid Holidays
• PTO
• Equipment provided
• Opportunity to work from home with a quiet dedicated work area
• High-speed internet of 25MBPS download and 5MBPS upload
• Ability to directly hardwire equipment to your modem
• Required to have a quiet dedicated work area

Key Responsibilities

* Member and Provider Support: Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.

• Application Processing: Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
• Data Entry and Management: Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
• Multitasking: Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
• Quality Assurance: Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
• Collaboration: Coordinate with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
• Process Improvement: Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.

Job Description

* Handle Customer Service Inbound Calls: + Receive and respond to calls primarily from members, providers, and occasionally other health plans. + Provide information on the status of authorization requests, including both inpatient and outpatient services. + Maintain a high level of professionalism and customer service in all interactions. + Resolve issues promptly and effectively, ensuring customer satisfaction.

• Authorization Management:

+ Address and manage re-direct requests. + Handle requests to re-fax authorization documents as needed.

• Lines of Business:

+ General Membership, Health Plan Providers, ETC.

• Documentation and Compliance:

+ Accurately document call interactions and outcomes in the appropriate systems. + Ensure compliance with all relevant regulations and guidelines.

Qualifications

* Educational Background: High School Diploma or General Education Degree (GED) required.

• Technical Skills:

+ At least one 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field + Healthcare Medical Terminology + Proficiency in Microsoft Office Suite (Word, Excel, Outlook). + Experience with CRM systems or membership databases. + Strong typing and data entry skills, with the ability to manage multiple systems simultaneously. + Must be able to clear a background check

• Other Qualifications:

+ Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency. + Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment. + Communication Skills: Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members. + Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively. + Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with arenaflex's commitment to excellence.

Work Environment and Company Culture

arenaflex is an equal employment opportunity employer and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Our company culture values collaboration, innovation, and customer satisfaction. We offer a dynamic and supportive work environment, with opportunities for career growth and professional development.

Compensation, Perks, and Benefits

* $16.00 - $18.00 per hour DOE

• Paid training period
• Medical, Dental, Life, Vision, HSA, 401K
• Paid Holidays
• PTO
• Equipment provided
• Opportunity to work from home with a quiet dedicated work area
• High-speed internet of 25MBPS download and 5MBPS upload
• Ability to directly hardwire equipment to your modem
• Required to have a quiet dedicated work area

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application through our website or by clicking on the link below. Apply to this job Apply for this job