At arenaflex Health Services, we're dedicated to revolutionizing the way people access and experience healthcare. As a Behavioral Health Customer Service Advocate, you'll play a vital role in helping individuals navigate the complexities of mental health and substance use disorders. If you're passionate about making a meaningful difference in people's lives, we invite you to join our team of compassionate professionals.
**About arenaflex Health Services**
arenaflex Health Services is a leading provider of pharmacy, care, and benefit solutions that aim to improve health and increase vitality. Our innovative approach to healthcare enables us to make the prediction, prevention, and treatment of illness and disease more accessible to millions of people. By joining our team, you'll be part of a dynamic organization that's committed to driving growth and improving lives.
**Job Summary**
As a Behavioral Health Customer Service Advocate, you'll be responsible for providing exceptional customer service to members and providers seeking services related to mental health and substance use disorders. You'll work in a structured environment with a designated queue time, utilizing your empathy, active listening, and problem-solving skills to ensure every caller's experience with arenaflex is both efficient and compassionate.
**Key Responsibilities**
* Take back-to-back phone calls from members and providers, lasting approximately 8-10 minutes each
* Triage and conduct intake for risk of harm and substance use concerns
* Communicate eligibility, assist with scheduling appointments, provide referrals, quote benefits, and advise on authorization requirements
* Utilize resources and independent judgment to deliver accurate information, exceptional service, and resolution on the first call
* Collaborate with matrix partners and coordinate seamless handoffs to clinical teams for timely support
* Navigate multiple systems and applications across multiple screens while on calls (sometimes up to 9 programs at once)
* Work with account-specific VIPs to ensure appropriate support for members
* Provide start-to-finish case ownership with claims by:
+ Explaining how benefits were applied to claims and how claims were processed
+ Supporting complex case completion and appropriate resolution achieved through any necessary communication
+ Working with claims examiners to determine appropriate steps in resolution
+ Communicating with healthcare professionals to clarify and resolve claims issues impacting the member and provider
+ Reprocessing claims
**Requirements**
* Master's degree in psychology, social work, or a related field, or Master's degree in another field plus 2+ years of behavioral health experience
* Customer service experience
* Strong time management and multitasking abilities
* Proficiency with typing and PC usage
* Must remain at your workstation while handling calls from a phone queue
**Training Schedule**
Our comprehensive training program will take place Monday through Friday, 8:30 AM to 5:00 PM CST. You'll receive in-depth training on our systems, processes, and policies to ensure you're equipped to provide exceptional service to our members and providers.
**Work Schedule**
Based on business need, you'll be offered a permanent 8-hour shift between 7:00 AM and 7:00 PM CST. If you'll be working from home occasionally or permanently, you'll need to obtain internet connection through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**Compensation and Benefits**
We offer a competitive hourly rate of $24 - $36 per hour, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. In addition to a comprehensive compensation package, you'll enjoy a range of benefits, including:
* Comprehensive health insurance (medical, vision, dental, and well-being and behavioral health programs)
* 401(k) with company match
* Company-paid life insurance
* Tuition reimbursement
* Minimum of 18 days of paid time off per year and paid holidays
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to helping you grow and develop your skills and expertise. You'll have access to a range of training programs, mentorship opportunities, and career development resources to help you achieve your professional goals.
**Work Environment and Company Culture**
Our remote work environment is designed to promote flexibility, productivity, and work-life balance. You'll have the opportunity to work from the comfort of your own home, with access to our virtual collaboration tools and resources. Our company culture is built on a foundation of empathy, compassion, and respect for our members, providers, and colleagues.
**How to Apply**
If you're passionate about making a difference in people's lives and are looking for a rewarding career opportunity, we invite you to apply for this role. Please submit your application through our website, and we'll be in touch to discuss your qualifications and next steps.
**Equal Employment Opportunity**
arenaflex Health Services is an equal opportunity employer and welcomes applications from diverse candidates. We're committed to creating an inclusive work environment that values and respects the contributions of all employees.
**Reasonable Accommodation**
If you require reasonable accommodation in completing the online application process, please email [
[email protected]](mailto:
[email protected]) for support. Do not email [
[email protected]](mailto:
[email protected]) for an update on your application or to provide your resume, as you will not receive a response.
**Tobacco-Free Policy**
arenaflex Health Services has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
**Criminal History**
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state, and local ordinances.
We look forward to receiving your application and welcoming you to our team of dedicated professionals.