Experienced Customer Service Representative – National Remote
Join arenaflex, a leading healthcare company, in a dynamic and rewarding role as an Experienced Customer Service Representative. As a key member of our team, you will play a critical role in delivering exceptional customer service to our members, ensuring their needs are met, and exceeding their expectations. This is an exciting opportunity to join a company that values compassion, innovation, and customer-centricity.
About arenaflex
arenaflex is a leading healthcare company that provides consumer-oriented health benefit plans to millions of people. Our mission is to create higher quality care, lower costs, and greater access to healthcare. We are committed to making a profound and personal impact on the lives of our members and their families. With a focus on innovation and customer satisfaction, we are constantly seeking talented individuals to join our team and contribute to our growth and success.
Job Summary
As an Experienced Customer Service Representative, you will be responsible for handling incoming phone calls from customers, identifying their needs, and providing solutions to their problems. You will work closely with our members and their families to resolve issues related to healthcare eligibility, claims, and payments. Your compassion, customer service expertise, and ability to work in a fast-paced environment will make you an invaluable asset to our team.
Key Responsibilities
- Answer incoming phone calls from customers and identify the type of assistance they need. - Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems. - Own problems through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member. - Review and research incoming healthcare claims from members and providers by navigating multiple computer systems and platforms and verifies the data/information necessary for processing. - Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures. - Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding. - Meet the performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance.
Essential Qualifications
- High School Diploma / GED or 10+ years of equivalent work experience. - Must be 18 years of age or older. - 1+ years of customer service experience in an office or professional setting. - Ability to successfully complete the Customer Service training classes and demonstrate proficiency of the material. - Ability to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 8:00 pm CST from Monday - Friday.
Preferred Qualifications
- 1+ years of experience in customer service call center within the healthcare insurance industry. - Familiarity with medical and/or dental terminology, claims processing/coding, plan documents, or benefit plan design. - Experience with utilizing multiple systems/platforms while on a call with a member. - Experience with working with medical claims processing. - Presently employed within UHC Operations and Experience.
Soft Skills
- Ability to use computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs. - Ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations. - Ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member. - Flexibility to customize approach to meet all types of member communication styles and personalities. - Proficient problem-solving approach to quickly assess current state and formulate recommendations. - Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrate personal resilience. - Ability to multi-task as well as the ability to understand multiple products and multiple levels of benefits within each product.
Work Environment and Company Culture
As a remote employee, you will have the flexibility to work from anywhere within the U.S. while enjoying the benefits of a dynamic and supportive work environment. Our company culture values compassion, innovation, and customer-centricity, and we are committed to making a profound and personal impact on the lives of our members and their families.
Compensation and Benefits
The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors, including local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).
Application Instructions
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application through our website or by clicking on the "Apply for the job now!" link below.
Equal Employment Opportunity
arenaflex is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace
arenaflex is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Contact Information
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