**Join arenaflex and embark on a rewarding career in healthcare, where you'll have the opportunity to make a meaningful impact on people's lives.**
**About the Role:**
We're seeking a highly skilled and compassionate Remote Customer Service Advocate to join our team at arenaflex. As a key member of our healthcare customer service team, you'll play a vital role in providing exceptional support to our clients and their members. Your primary responsibility will be to take member services calls, addressing inquiries related to policy management, benefits, and claims. You'll be the face of arenaflex, ensuring that our clients receive top-notch service and support.
**Job Type:**
This is a full-time, 100% remote position, offering the flexibility to work from the comfort of your own home. Our remote team members enjoy a dynamic and supportive work environment, with opportunities for growth and development.
**Schedule:**
Our Remote Customer Service Advocates work a standard Monday-to-Friday schedule, with the following hours:
- 11:00 AM - 8:00 PM EST
- 10:00 AM - 7:00 PM CT
**Key Responsibilities:**
As a Remote Customer Service Advocate, you'll be responsible for:
- **Member and Provider Support:** Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.
- **Application Processing:** Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
- **Data Entry and Management:** Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
- **Multitasking:** Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
- **Quality Assurance:** Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
- **Collaboration:** Coordinate with other teams within arenaflex, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
- **Process Improvement:** Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.
**Job Description:**
As a Remote Customer Service Advocate, you'll be responsible for handling customer service inbound calls, addressing member and provider inquiries, and providing accurate information on membership options, benefits, and account status. You'll also be responsible for:
- **Handling Customer Service Inbound Calls:** Receive and respond to calls primarily from members, providers, and occasionally other health plans. Provide information on the status of authorization requests, including both inpatient and outpatient services. Maintain a high level of professionalism and customer service in all interactions. Resolve issues promptly and effectively, ensuring customer satisfaction.
- **Authorization Management:** Address and manage re-direct requests. Handle requests to re-fax authorization documents as needed.
- **Lines of Business:** General Membership, Health Plan Providers, and other related areas.
- **Documentation and Compliance:** Accurately document call interactions and outcomes in the appropriate systems. Ensure compliance with all relevant regulations and guidelines.
**Qualifications:**
To be successful in this role, you'll need:
- **Educational Background:** High School Diploma or General Education Degree (GED) required.
- **Technical Skills:**
- At least 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field.
- Healthcare Medical Terminology.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Experience with CRM systems or membership databases.
- Strong typing and data entry skills, with the ability to manage multiple systems simultaneously.
- Must be able to clear a background check.
**Other Qualifications:**
- **Attention to Detail:** Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency.
- **Multitasking Ability:** Proven track record of effectively managing multiple tasks and priorities in a busy work environment.
- **Communication Skills:** Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members.
- **Problem-Solving Skills:** Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively.
- **Customer Service Orientation:** A passion for delivering exceptional service to clients and their members, aligning with arenaflex's commitment to excellence.
**Work from Home Requirements:**
- **High-Speed Internet:** 25MBPS download and 5MBPS upload. You will be required to provide proof of a speed test.
- **Ability to Directly Hardwire Equipment:** You must be able to directly hardwire equipment to your modem.
- **Quiet Dedicated Work Area:** You will be required to have a quiet dedicated work area.
**What We Offer:**
- **Paid Training Period:** Comprehensive training to ensure your success in the role.
- **Medical, Dental, Life, Vision, HSA, 401K:** Competitive benefits package to support your well-being.
- **PTO:** Generous paid time off to recharge and relax.
- **Equipment Provided:** State-of-the-art equipment to enhance your productivity and efficiency.
**Company Overview:**
arenaflex is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. We provide claims processing services, including digital transformation, claims adjudication, and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
Our innovative workflow technology platform, JetStreamTM, helps with traceability, governance, and automation of claims operations for our clients. We're headquartered in Tampa, operate 10 regional offices throughout the U.S., and have a wholly owned global delivery center in the Philippines.
**Equal Employment Opportunities:**
arenaflex provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**Apply Now:**
If you're passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry, we encourage you to apply for this exciting opportunity. Join our team at arenaflex and embark on a rewarding career in healthcare.