Experienced Provider Customer Service Call and Chat Representative – Telecommute Opportunity in Dublin, OH

At arenaflex, we are dedicated to simplifying the health care experience and creating healthier communities. As a Provider Customer Service Call and Chat Representative, you will play a crucial role in supporting providers who care for our members. This position involves responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. You will be part of a full-time team working 40 hours a week, Monday through Friday, with shifts scheduled during our normal business hours of 11:35 AM to 8:05 PM EST. Given the nature of the business, there may be occasional overtime, weekend, and holiday work required, especially during peak seasons.

About arenaflex

arenaflex is a leading health care company that is committed to making a positive impact on the lives of our members and the communities we serve. We strive to create a workplace culture that is inclusive, supportive, and empowering, where our employees can grow and thrive in their careers. As a telecommuter, you will be part of a team that is dedicated to delivering exceptional customer service and making a difference in the health care system.

Key Responsibilities

As a Provider Customer Service Call and Chat Representative, your primary responsibilities will include:

• Advocating for providers by demonstrating accountability and ownership to resolve issues
• Serving providers in a multi-channel environment, including call and concurrent chat as required
• Quickly and appropriately triaging contacts from healthcare professionals (i.e., physician offices, clinics, billing offices)
• Seeking to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)
• Researching and dissecting complex prior authorization and claim issues and taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction
• Collaborating effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
• Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types
• Influencing providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution

Requirements

To be successful in this role, you will need to meet the following requirements:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of customer service experience with analyzing and solving customer's concerns
• Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to type at the speed of greater than or equal to 35 - 40+ WPM (words per minute) with an accuracy of 90%
• Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 11:35 AM - 8:05 PM EST from Monday - Friday

Nice-to-haves

While not required, the following experience and skills are highly desirable:

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools
• Prior health care experience and knowledge of healthcare terminology

Benefits

As a Provider Customer Service Call and Chat Representative, you will enjoy the following benefits:

• 10 weeks of paid on-the-job training
• Flexible telecommuting options for those within a 60-mile commutable distance
• Opportunities for career development and advancement within the organization

Career Growth Opportunities

At arenaflex, we are committed to helping our employees grow and develop in their careers. As a Provider Customer Service Call and Chat Representative, you will have access to a range of training and development opportunities, including:

• Comprehensive training program to help you develop the skills and knowledge you need to succeed in this role
• Opportunities for career advancement within the organization
• Access to a range of training and development resources, including online courses, workshops, and conferences

Work Environment and Company Culture

As a telecommuter, you will be part of a team that is dedicated to delivering exceptional customer service and making a difference in the health care system. Our company culture is inclusive, supportive, and empowering, and we strive to create a workplace environment that is welcoming and respectful to all employees.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including:

• Competitive salary
• Comprehensive benefits package, including medical, dental, and vision coverage
• 401(k) retirement plan with company match
• Paid time off (PTO) and holidays
• Flexible telecommuting options

How to Apply

If you are a motivated and customer-focused individual who is passionate about making a difference in the health care system, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online application system. Apply Now! Apply for this job