Experienced Customer Service Advocate for Individual and Family Plans – Remote Work Opportunity with arenaflex

Welcome to arenaflex

At arenaflex, we are dedicated to simplifying the healthcare experience and creating healthier communities. As a leader in the healthcare industry, we strive to make a positive impact on the lives of millions. Our mission is built on a foundation of compassion, innovation, and a commitment to excellence. We believe that everyone deserves access to quality healthcare, and we are working tirelessly to make that vision a reality.

About the Position

We are seeking an experienced and empathetic Customer Service Advocate to join our team. As an IFP Customer Service Advocate, you will play a vital role in supporting our customers with their health benefits inquiries. This position offers the flexibility to work remotely from anywhere in the U.S., providing you with the opportunity to balance your work and personal life while making a significant difference in the lives of our customers. You will be responsible for answering incoming calls from customers, addressing their questions about health benefits, and guiding them through the enrollment process for new plans.

Key Responsibilities

• Answer incoming phone calls from customers and identify the type of assistance the customer needs, such as benefit and eligibility, billing and payments, authorizations for treatment, and explanation of benefits (EOBs)
• 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 (doctors, clinics, etc.) by navigating multiple computer systems and platforms and verifying the data/information necessary for processing
• Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures, such as claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, and benefit plan documents/certificates
• 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

Requirements

To be successful in this role, you will need to possess the following essential qualifications:

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 2+ years of customer service experience
• Ability to work full-time, Monday - Friday between 7:00 am - 6:00 pm CST, including the flexibility to work occasional overtime given the business need

Nice-to-Haves

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

• Familiarity with the healthcare/insurance environment, including medical terminology, health plan documents, or benefit plan design
• Experience working with vulnerable populations, such as social work, behavioral health, disease prevention, health promotion, and behavior change
• Sales or account management experience
• Bilingual fluency in English and Spanish

What We Offer

At arenaflex, we are committed to supporting the growth and development of our employees. As a Customer Service Advocate, you can expect:

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Opportunities for career development and advancement within the organization
• A dynamic and supportive work environment that values diversity, equity, and inclusion

Career Growth Opportunities

At arenaflex, we believe in investing in the growth and development of our employees. As a Customer Service Advocate, you will have access to training and development programs, mentorship opportunities, and career advancement pathways. We are committed to helping you achieve your career goals and reach your full potential.

Work Environment and Company Culture

At arenaflex, we pride ourselves on our positive and inclusive work environment. We believe in fostering a culture of compassion, empathy, and respect, where every employee feels valued and supported. Our remote work arrangement allows you to work from the comfort of your own home, while still being connected to a dynamic and supportive team.

Why Join arenaflex?

By joining arenaflex, you will become part of a team that is dedicated to making a positive impact on the lives of millions. You will have the opportunity to work with a talented and diverse group of professionals who share your passion for healthcare and customer service. If you are looking for a challenging and rewarding career opportunity that offers flexibility, growth, and development, then we encourage you to apply for this exciting role.

How to Apply

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, then we want to hear from you. Please submit your application, including your resume and a cover letter, to be considered for this exciting opportunity. We look forward to welcoming you to the arenaflex team!