Experienced IME Medical Scheduler / Customer Service Representative – Insurance Claims Processing and Customer Support
At arenaflex, we're dedicated to delivering exceptional customer experiences and providing top-notch support to our clients. As an Experienced IME Medical Scheduler / Customer Service Representative, you'll play a vital role in ensuring the smooth processing of insurance claims and delivering outstanding customer service. If you're passionate about the healthcare and insurance industry, possess excellent communication skills, and thrive in a fast-paced environment, we encourage you to join our team!
About arenaflex
arenaflex is a fast-paced, Inc. 500 Company with a high-performance culture, specializing in processing over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
Job Summary
As an Experienced IME Medical Scheduler / Customer Service Representative, you'll be responsible for handling the receipt of new cases, ensuring proper system drafting and setup, and facilitating the case assignment/scheduling process. You'll work closely with clients to gather information, review and verify requests, and draft cases by entering information into our system, AccessDS. Your exceptional communication skills and ability to apply critical thinking will enable you to assign cases to physicians, monitor and track cases, and provide timely updates to clients.
Major Duties and Responsibilities
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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
+ Perform other duties and special projects as assigned and based on business needs
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
- Ability to work in a fast-paced environment and prioritize multiple tasks
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
Compensation and Benefits
* Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills
- In addition to the base salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses
- Our comprehensive benefits package includes:
+ Medical, dental, and vision coverage for you and your family + Voluntary life insurance options for you, your spouse, and your children + Hospital indemnity, critical illness, accident indemnity, and pet insurance plans + Basic life insurance, short-term disability, and long-term disability coverage at no cost + Generous paid time off policy + 401k plan with a company match + Apple equipment and a media stipend for remote workspace
Why Join arenaflex?
* We're committed to providing fair and competitive compensation that reflects each employee's contributions and performance
- We value diversity and strive to create an inclusive environment for all employees
- We offer a range of career growth opportunities and learning benefits to help you develop your skills and advance your career
- We're passionate about delivering exceptional customer experiences and providing top-notch support to our clients
How to Apply
If you're a motivated and customer-focused individual with a passion for the healthcare and insurance industry, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we'll be in touch to discuss your qualifications further. Apply Now! Apply for this job