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Experienced Customer Service Representative - Healthcare Specialist – 100% Remote Pennsylvania

Work from home Full-time role Hiring
At arenaflex, our vision is to be the leader in customer experience by connecting the right people with innovative solutions to deliver outstanding results. We empower and support our employees to reach unimaginable heights while growing our business to make a global impact. Our can-do culture works together to make the ordinary exceptional. Are you an exceptional listener who AIMS HIGHER.REACHES FARTHER when it comes to challenges and solving problems? Can you ACT BOLD.BE PASSIONATE with your impressive communication skills, empathy, and care for each person you speak with? Can you BE ONE.HELP MANY in a way that provides a positive experience? Do you want to BE DIFFERENT.BE YOU and LEARN MORE.TAKE ACTION? JOIN OUR TEAM TODAY! We are hiring an Experienced Customer Service Representative - Healthcare Specialist who will support US-based customers' healthcare benefits questions and concerns regarding their claims, deductibles, coverage, and more. You do not need a background in healthcare or insurance; just a passion for learning and a desire to understand concerns, provide solutions, and make an impact on the lives of others. Responsibilities:
  1. Answer inbound calls from US customers and address questions & concerns regarding their healthcare benefits.
  2. Handle incoming or outgoing phone calls to patients, clients, and other customers while proactively gaining patient and order information.
  3. Work closely with patients and conduct conversations on therapy changes on targeted medications.
  4. Knowledge in insurance, healthcare, requirements for dispensing, processing of referrals, and providing customer education and routine assessment and problem identification.
  5. Must understand HIPAA compliance, as well as ensuring that patients remain adherent and compliant to their specific therapies.
  6. Must be able to communicate between levels of professionals with engagement with Doctors' offices and Pharmacists.
  7. Ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balance while demonstrating excellent customer service to patients.
  8. Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
  9. Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
Essential Qualifications: * 6+ months of experience in high-volume call center * 1+ years of "high-level" empathetic customer service experience * Ability to navigate through multiple computer applications with speed & accuracy * Adaptability to learn new call types when business needs change & flex support in those areas * Excellent communication and problem-solving skills * Ability to work in a fast-paced environment with multiple priorities * Strong customer service skills with a focus on empathy and understanding Preferred Qualifications: * Previous experience in healthcare or insurance industry * Knowledge of HIPAA compliance and regulations * Experience working with patients and healthcare professionals * Strong analytical and problem-solving skills * Ability to work independently and as part of a team * Strong communication and interpersonal skills Work at Home Requirements: * High-speed internet with at least 25 mbps download speed (No Satellite, Wi-Fi, or Cellular/Wireless carrier hotspot or internet services) * Must have a hard-wired internet connection via ethernet cable to modem/router that you own/are responsible for * Dedicated, quiet, & secured workspace with no distractions * A USB Wired headset with noise-canceling microphone Additional Requirements: * 18+ years old & high school diploma/GED * Entry-level position with a minimum of 6 months customer service experience * Customer-focused personality & desire to help people * Professional positive attitude & courteous telephone etiquette * Full-Time schedule availability to meet business needs (Includes evenings and weekends) * Willing to submit a drug test and background check Benefits & Perks: * $14-$15 per hour + overtime during peak needs * Benefits Eligible After 60 Days * Access Up To 50% Of Your Pay Immediately After Your Shift * Health Insurance (Medical, Dental, Vision) & Other Benefits * Pet Insurance * Paid, Virtual Training * Remote Work Environment * Opportunity for Professional Development Career Growth Opportunities: At arenaflex, we believe in investing in our employees' growth and development. With a strong focus on employee satisfaction and career advancement, we offer opportunities for professional growth and development. Our employees have the chance to take on new challenges, develop new skills, and advance their careers within the company. Work Environment & Company Culture: Our team is passionate about delivering exceptional customer experiences and making a positive impact on the lives of others. We are a dynamic and fast-paced environment that values innovation, creativity, and teamwork. Our company culture is built on a foundation of trust, respect, and open communication. We believe in empowering our employees to take ownership of their work and make decisions that drive results. Equal Opportunity Employer: arenaflex is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, disability, military/veteran status, citizenship status, genetic information, or any other characteristic protected by applicable federal, state, or local laws. How to Apply: If you are a motivated and customer-focused individual who is passionate about delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and our talent acquisition team will review your qualifications and contact you to discuss further. Apply Job! Apply for this job

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