Experienced Customer Service Advocate – National Remote
At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As an IFP Customer Service Advocate, you will play a crucial role in this mission by assisting customers with their health benefits inquiries. This position allows you to work remotely from anywhere in the U.S., providing you with the flexibility to balance your work and personal life while making a significant impact on the lives of millions. You will be responsible for answering incoming calls from customers, addressing their questions about health benefits, and guiding them through the enrollment process for new plans. This role is not just about answering questions; it's about being an advocate for our customers and ensuring they receive the support they need.
About arenaflex
arenaflex is a leading health care organization that is committed to creating healthier communities. We believe that everyone deserves access to quality health care, and we are dedicated to making that a reality. Our team of passionate and dedicated professionals is working tirelessly to simplify the health care experience and provide our customers with the support they need. As an IFP Customer Service Advocate, you will be part of a dynamic team that is making a real difference in the lives of millions.
Responsibilities
As an IFP Customer Service Advocate, you will be responsible for:
- Answering incoming phone calls from customers and identifying the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs))
- Asking appropriate questions and listening actively to identify specific questions or issues while documenting required information in computer systems
- Owning problems through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
- Reviewing and researching incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifying the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
- Ensuring that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)
- Communicating and collaborating with members and providers to resolve issues, using clear, simple language to ensure understanding
- Meeting the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction, and attendance
Key Skills and Competencies
To be successful in this role, you will need to possess the following skills and competencies:
- Excellent communication and interpersonal skills
- Ability to work in a fast-paced environment and prioritize tasks effectively
- Strong problem-solving and analytical skills
- Ability to navigate multiple computer systems and platforms
- Compassion and empathy when working with vulnerable populations
- Ability to work independently and as part of a team
- Strong attention to detail and accuracy
Requirements
To be considered for this role, you will need to meet the following requirements:
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 2+ years of customer service experience
- Ability to work full-time, Monday - Friday between 7:00am - 6:00pm CST including the flexibility to work occasional overtime given the business need
Nice-to-Haves
While not required, the following skills and experiences would be beneficial in this role:
- Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
- Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)
- Sales or account management experience
- Bilingual fluency in English and Spanish
Benefits
As an IFP Customer Service Advocate at arenaflex, you will be rewarded with a comprehensive benefits package, including:
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
Career Growth Opportunities
arenaflex is committed to the growth and development of our employees. As an IFP Customer Service Advocate, you will have opportunities for career development within the organization, including:
- Training and development programs to enhance your skills and knowledge
- Opportunities for advancement to leadership roles
- A dynamic and supportive work environment that encourages growth and development
Work Environment and Company Culture
arenaflex is a dynamic and supportive work environment that values diversity, equity, and inclusion. As an IFP Customer Service Advocate, you will be part of a team that is passionate about creating healthier communities and making a real difference in the lives of millions. Our company culture is built on the following values:
- Compassion and empathy
- Excellence and quality
- Integrity and transparency
- Collaboration and teamwork
- Innovation and creativity
How to Apply
If you are a motivated and compassionate individual who is passionate about creating healthier communities, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter that outlines your experience and qualifications.
Equal Employment Opportunity
arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, regardless of their background, culture, or identity.
Contact Us
If you have any questions or would like to learn more about this opportunity, please contact us at [insert contact information]. We look forward to hearing from you! Apply for this job