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Experienced Customer Care Representative II – Insurance Benefits and Provider Contract Support

Work from home Full-time role Hiring

At arenaflex, we're dedicated to improving lives and communities – and making healthcare simpler. As a Customer Care Representative II, you'll play a vital role in delivering exceptional customer experiences, ensuring our members receive the support they need to navigate their insurance benefits and provider contracts. If you're passionate about making a meaningful impact, we invite you to join our team and embark on a rewarding career journey.

About arenaflex

arenaflex is a Fortune 25 health company with a longstanding history in the healthcare industry. We're committed to creating a culture that advances our strategy, fosters personal and professional growth, and drives shared success for our consumers, associates, communities, and business. Our values and behaviors are the foundation of our culture, guiding us to achieve our goals and power our business outcomes.

Job Summary

As a Customer Care Representative II, you'll be responsible for responding to customer inquiries via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims. You'll provide information, solutions, and support to our members, ensuring their needs are met and their expectations are exceeded. This role requires a unique blend of technical skills, problem-solving abilities, and exceptional communication skills.

Key Responsibilities

* Analyze problems and provide information/solutions to customers via telephone and written correspondence

  • Operate a PC/image station to obtain and extract information, document activities, and changes in the database
  • Thoroughly document inquiry outcomes for accurate tracking and analysis
  • Develop and maintain positive customer relations, coordinating with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner
  • Research and analyze data to address operational challenges and customer service issues
  • Provide external and internal customers with requested information, proficient in all basic customer service functions
  • Receive and place follow-up telephone calls/e-mails to answer customer questions
  • Conduct outbound calls in the ZipDrug business area
  • Inquiries may also be on a walk-in basis
  • May require deviation from standard practices and procedures with the assistance of a computerized system
  • Seek, understand, and respond to the needs and expectations of internal and external customers

Minimum Requirements

* High school diploma or equivalent and a minimum of 1 year of experience in an automated customer service environment; or any combination of education and experience that would provide an equivalent background

  • Strong oral, written, and interpersonal communication skills
  • Problem-solving skills, facilitation skills, and analytical skills
  • Ability to work in a fast-paced environment, handling multiple priorities and deadlines
  • Proficiency in basic computer skills, including Microsoft Office and database management

Preferred Qualifications

* Experience in the healthcare industry, specifically in customer service or related roles

  • Familiarity with insurance benefits, provider contracts, and claims processing
  • Strong analytical and problem-solving skills, with the ability to think critically and make sound decisions
  • Excellent communication and interpersonal skills, with the ability to build strong relationships with customers and colleagues
  • Ability to work in a team environment, collaborating with cross-functional teams to achieve shared goals

Skills and Competencies

* Strong customer service skills, with the ability to provide exceptional support to our members

  • Excellent communication and interpersonal skills, with the ability to build strong relationships with customers and colleagues
  • Analytical and problem-solving skills, with the ability to think critically and make sound decisions
  • Ability to work in a fast-paced environment, handling multiple priorities and deadlines
  • Proficiency in basic computer skills, including Microsoft Office and database management
  • Familiarity with insurance benefits, provider contracts, and claims processing

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our associates grow and develop their careers. We offer a range of training programs, mentorship opportunities, and career development resources to support your professional growth. Our associates have access to:

  • Ongoing training and development programs to enhance their skills and knowledge
  • Mentorship opportunities with experienced colleagues and leaders
  • Career development resources, including career coaching and job shadowing
  • Opportunities for advancement and promotion within the company

Work Environment and Company Culture

arenaflex operates in a Hybrid Workforce Strategy, combining structured office engagement with the autonomy of remote work. Our associates are required to work at an arenaflex location at least once per week, and potentially several times per week. We offer a dynamic and adaptable work environment, with a focus on collaboration, innovation, and continuous improvement.

Compensation, Perks, and Benefits

arenaflex offers a range of market-competitive total rewards, including:

  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical, dental, vision, short and long-term disability benefits
  • 401(k) + match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources

Equal Employment Opportunity

arenaflex is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.

How to Apply

If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry, we invite you to apply for this exciting opportunity. Please submit your resume and cover letter to [arenaflex Careers](https://careers.arenaflex.com/customer-care-representative-ii/job/2B400D418E6315E75D18E96F99F4A502?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic). Apply for this job

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