Experienced Medicare Outreach Customer Service Representative – Remote Opportunity at arenaflex

Join arenaflex, a leading healthcare organization dedicated to delivering high-quality services to our members, as a Medicare Outreach Customer Service Representative. In this exciting role, you will play a vital part in promoting healthy lifestyles, educating members about our products and programs, and fostering strong relationships with our community partners.

About arenaflex

arenaflex is a dynamic organization that values the talents and abilities of all our employees. We strive to create an open, cooperative, and dynamic environment where our employees can thrive and contribute to our mission of helping people live healthier and more satisfying lives. Our culture of high performance and commitment to excellence has earned us a reputation as a trusted partner in the healthcare industry.

About arenaflex Health Plan and MDwise, Inc.

arenaflex Health Plan is our Michigan-based health plan, dedicated to meeting the healthcare needs of our Michigan members. With a focus on quality and customer service, we provide a range of products and programs designed to promote healthy lifestyles and improve health outcomes. MDwise, Inc. is our Indiana-based health plan, working closely with the State of Indiana and the Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.

Job Summary

As a Medicare Outreach Customer Service Representative, you will be responsible for delivering, strategizing, and improving quality with a focus on primary care. You will educate and network with people of diverse backgrounds and cultures on our products and programs, attract and retain membership in the Plan, and establish and maintain relationships for the promotion of healthy lifestyles among membership. You will also track and trend HEDIS or Medicare Stars rates, and foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned.

Key Responsibilities

* Deliver, strategize, and improve quality with a focus on primary care

• Educate and network with people of diverse backgrounds and cultures on our products and programs
• Attract and retain membership in the Plan
• Establish and maintain relationships for the promotion of healthy lifestyles among membership
• Track and trend HEDIS or Medicare Stars rates
• Foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned
• Support the Customer Service department Medicare Stars Program

Qualifications

* High School Diploma or equivalent educational certification

• Two (2) years' experience in a customer service-related position
• Associate Degree in health care administration, communication, marketing, or related field (preferred)
• One year experience in a community-focused outreach position (preferred)
• NCQA experience specific to HEDIS measurement (preferred)
• In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc. (preferred)

Skills and Competencies

* Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and prioritize multiple tasks
• Strong problem-solving and analytical skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office and other software applications
• Strong customer service skills and a commitment to delivering high-quality service

Career Growth Opportunities and Learning Benefits

As a Medicare Outreach Customer Service Representative at arenaflex, you will have opportunities to grow and develop your skills and knowledge in a dynamic and supportive environment. We offer a range of training and development programs, including:

• On-the-job training and coaching
• Regular feedback and performance evaluations
• Opportunities for professional growth and advancement
• Access to industry-leading training and development programs

Work Environment and Company Culture

arenaflex is a fully remote organization, offering the flexibility and autonomy to work from anywhere. Our company culture is built on a foundation of collaboration, innovation, and customer-centricity. We value diversity, equity, and inclusion, and strive to create a workplace that is welcoming and inclusive for all employees.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including:

• Salary: $45,000 - $60,000 per year
• Benefits: medical, dental, vision, and life insurance
• Paid time off and holidays
• Retirement savings plan
• Professional development opportunities

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare and a commitment to delivering high-quality service, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!

Equal Opportunity Employer

arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide equal opportunities for employment, training, and advancement. Apply for this job