At arenaflex, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.
**Job Summary**
arenaflex is seeking an experienced Customer Service Representative to join our Behavioral Health team. As a key member of our team, you will provide advocate care to assist members with a clear path to care, claims understanding and resolution, and educate them with online resources. You will guide members through their benefits, Aetna policy, and procedures while having knowledge of resources to comply with regulatory guidelines.
**About the Role**
As a Customer Service Representative in our Behavioral Health team, you will be responsible for creating an emotional connection with our members by understanding and engaging them to the fullest to champion for their best health. You will take accountability to fully understand the member's needs by building a trusting and caring relationship with the member. You will anticipate customer needs, perform reviews of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible, and perform financial data maintenance as necessary. You will also explain member's rights and responsibilities in accordance with contract.
**Key Responsibilities**
- Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
- Taking accountability to fully understand the member’s needs by building a trusting and caring relationship with the member.
- Anticipates customer needs.
- Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
- Performs financial data maintenance as necessary.
- Explains member's rights and responsibilities in accordance with contract.
**Requirements**
- 1+ years of experience in a call center environment.
- Experience using Microsoft Office products, specifically Excel, Outlook, and Word.
- High School Diploma or GED.
- Technical Requirement for personal residential internet service.
- Recommended Technical requirements when obtaining your own residential internet service:
• Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast).
• Select a minimum of 25mbps/3mbps. Remember, the higher the speed, the faster your internet. A hardwired connection is required (ethernet connection); a wireless connection will introduce the risk of performance degradation.
• Consider the internet usage of others in the household during your scheduled working hours. You may need to obtain a higher speed internet connection so your ability to perform your work is not affected. Streaming video content and gaming will significantly reduce the amount of bandwidth available for your corporate equipment.
**Preferred Qualifications**
- Previous Behavioral Health, Medical, or Insurance background.
- Experience working from home in a remote role.
**Work Environment and Company Culture**
arenaflex is committed to fostering a workplace where every colleague feels valued and that they belong. Our teams reflect the customers, patients, members, and communities we serve. We are a 24-hour call center operation, and we will treat holidays as normal working business days, unless you have been approved for time off. This means you would work your normal shift if the Company Observed Holiday falls on your normal workday. No PTO available the first 45 days of employment.
**Training and Development**
The first six weeks of employment will be training on Monday-Friday 9:00 AM-5:30 PM EST. You will have the opportunity to learn and grow with our company, and we offer a comprehensive training program to ensure your success.
**Compensation and Benefits**
The typical pay range for this role is $17.00 - $28.46. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors, including experience, education, geography, and other relevant factors. This position is eligible for a arenaflex bonus, commission, or short-term incentive program in addition to the base pay range listed above.
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional, and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues, including wellness screenings, tobacco cessation, and weight management programs, confidential counseling, and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues, including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility.
**How to Apply**
If you are a motivated and compassionate individual who is passionate about transforming health care, we encourage you to apply for this exciting opportunity. Please visit our website at [arenaflex website] to learn more about our company culture and benefits. We anticipate the application window for this opening will close on: 05/17/2025.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.
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