Experienced Medical Customer Service Representative – Healthcare Coverage Support
At arenaflex, we're dedicated to building a better future for healthcare by offering outstanding coverage to our members, compassionate support to our community, and comprehensive benefits to our employees. As a Medical Customer Service Representative, you'll play a vital role in delivering exceptional service to our members, addressing their concerns, and providing timely and accurate responses to their inquiries.
About arenaflex
arenaflex is a company of real people committed to quality, founded in Oregon in 1955. We're proud to be a leader in the healthcare industry, and our commitment to diversity and inclusion is at the heart of everything we do. We believe that our diverse experiences and perspectives make us a stronger organization, and we invite applications from candidates who share our commitment to this diversity.
Job Summary
As a Medical Customer Service Representative, you'll be responsible for providing phone customer service to members of multiple benefit plans, analyzing their needs, and providing timely and accurate responses. You'll answer calls from policyholders, members, agents, providers, hospitals, pharmacists, and others regarding a variety of issues and questions related to their health plan. This is a full-time work-from-home position, and you'll be required to work a minimum of 7.5 days per week with 37.5 work weeks.
Key Responsibilities
* Answer 50+ calls a day regarding claims and benefit questions from callers on both group and individual plans
- Provide solutions to problems, confirm eligibility, verify premiums, and collect payments for members on individual plans
- Explain benefits and/or plan coverage to members
- Analyze situations, communicate effectively, and provide accurate information in a professional manner
- Apply mathematical skills to determine correct benefit information and premium amounts for Individual plans
- Exercise judgment, initiative, and discretion in confidential and sensitive matters
- Perform related duties, including reviewing, updating, and becoming familiar with new and revised benefit information or claim processing procedures
Requirements
* High school diploma or equivalent
- Practical knowledge of medical terminology desired
- Knowledge of diagnosis and procedure coding desired
- Claim processing experience or prior customer service experience or other related experience such as medical/dental office experience
- Excellent oral and written communication skills
- Ability to interact professionally, patiently, and courteously with customers over the phone
- Good analytical, problem-solving, and decision-making skills
- 10-key proficiency of 105 spm net on a computer numeric keypad
- Type a minimum of 25 wpm net on a computer keyboard
- High-speed internet (cable or fiber)
- Proficiency with Microsoft Office applications, including the ability to open and navigate multiple windows at the same time
- Ability to achieve and maintain quality and quantity standards
- Ability to work well under pressure in a complex and rapidly changing environment
- Ability to be at work on time and daily
- Maintain confidentiality and project a professional business presence
- Ability to repeatedly analyze situations and communicate effectively in a fast-paced environment that includes dealing with angry people
- Ability to organize and remain up to date on changing and new information
Work Environment and Company Culture
As a Medical Customer Service Representative at arenaflex, you'll be working in a dynamic and fast-paced environment that requires excellent communication and problem-solving skills. You'll be part of a team that's committed to delivering exceptional service to our members, and you'll have the opportunity to make a real difference in their lives. Our company culture is built on the values of diversity, inclusion, and compassion, and we're committed to creating a workplace that's inclusive and supportive of all employees.
Compensation and Benefits
* $18.03 - $20.18 hourly, depending on experience
- Starting salary: $18.03/hr
- Comprehensive benefits package, including medical, dental, vision, pharmacy, life, and disability insurance
- 401K matching
- Flexible spending account (FSA)
- Employee assistance program
- Paid time off (PTO) and company-paid holidays
Career Growth Opportunities and Learning Benefits
As a Medical Customer Service Representative at arenaflex, you'll have the opportunity to develop your skills and advance your career in a dynamic and growing organization. We offer a range of training and development programs to help you succeed, including on-the-job training, coaching, and mentoring. You'll also have the opportunity to work with a diverse team of professionals who are passionate about delivering exceptional service to our members.
How to Apply
If you're a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our online application system. We can't wait to hear from you!
Equal Employment Opportunities
arenaflex is an equal employment opportunity employer and welcomes applications from qualified candidates of all backgrounds. We're committed to creating a workplace that's inclusive and supportive of all employees, and we're proud to be a leader in the healthcare industry. Apply for this job