Experienced Customer Service Representative – Remote Opportunity with arenaflex

Job Title:

Experienced Customer Service Representative – Remote Opportunity with arenaflex

Job Summary:

Are you a customer service enthusiast with a passion for delivering exceptional experiences? Do you thrive in fast-paced environments and enjoy working with diverse teams? If so, we invite you to join arenaflex as a Customer Service Representative. As a key member of our team, you will play a vital role in providing top-notch support to our members and health plans, ensuring a seamless and positive experience for all.

About arenaflex:

arenaflex is a leading Independent Physician Association in Southern California, dedicated to delivering high-quality healthcare services to our members. We pride ourselves on our fast-paced, exciting, and supportive work environment, where opportunities abound for enterprising, capable, and focused individuals to grow and succeed. Our commitment to teamwork, learning, and advancement has earned us a reputation as a top employer in the region.

Job Responsibilities:

As a Customer Service Representative with arenaflex, you will be responsible for:

• Responding to incoming calls from members and health plans, providing information and clarification on RMG/LMG services, such as authorizations, member billing, referrals, and eligibility.
• Maintaining or exceeding quality and productivity standards, handling a minimum of 35 calls per day with matching documentation.
• Anticipating the needs of our members/callers, understanding their wants and needs, and determining the level of intervention required.
• Utilizing standardized processes, tools, and researching EZCAP 6X and REA/LEA Systems to resolve routine or complex issues.
• Documenting all interactions in the EZCAP 6X customer service module and REA/LEA.
• Providing essential information to members regarding authorizations, billing issues, eligibility, and urgent cares.
• Maintaining patient confidentiality, adhering to HIPAA and PHI processes.
• Accessing Interpretation language line for non-English patients as needed.
• Working independently to resolve telephonic issues, handling designated assignments, and prioritizing work to maintain workflow.
• Ensuring accurate and professional written and verbal communication with all levels of management, staff.
• Displaying a warm and pleasant phone personality, emphasizing tact, empathy, good judgment, and patience.
• Self-starting, willing to take on multiple tasks, and reviewing and interpreting health plan benefits and provider contracts.
• Typing 45 WPM with accuracy, communicating effectively orally and written, and meeting productivity guidelines.

Essential Qualifications:

* Minimum two (2) years of customer service or healthcare setting experience.

• Multi-line telephone experience.
• High School Diploma or equivalent required.
• Ability to deal responsibly with matters of a confidential nature.
• Ability to multi-task and meet deadlines in a high-stress environment.
• Excellent communication skills, both verbal and written.
• Ability to read, write, and understand the English language.
• Pleasant telephone manner and telephone etiquette.
• Ability to distinguish the differences between CPT, HCPCS.
• Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access, and PowerPoint).
• Knowledge of computers, faxes, printers, and all other office equipment.
• Self-starter, willing to take on multiple tasks.

Preferred Qualifications:

* Experience working in a healthcare setting or with health plans.

• Knowledge of EZCAP 6X and REA/LEA Systems.
• Familiarity with HIPAA and PHI processes.
• Ability to communicate effectively in multiple languages.
• Experience working in a fast-paced, dynamic environment.

Compensation and Benefits:

* Competitive hourly rate: $20 - $21 per hour (commensurate with experience).

• Comprehensive benefits package, including:

+ Employer-paid comprehensive medical, pharmacy, and dental for employees. + Vision insurance. + Zero co-payments for employed physician office visits. + Flexible Spending Account (FSA). + Employer-Paid Life Insurance. + Employee Assistance Program (EAP). + Behavioral Health Services. + 401(k) Retirement Savings Plan. + Income Protection Insurance. + Vacation Time. + Company celebrations. + Employee Assistance Program. + Employee Referral Bonus. + Tuition Reimbursement. + License Renewal CEU Cost Reimbursement Program. + Business-casual working environment. + Sick days. + Paid holidays. + Mileage.

Work Environment:

arenaflex offers a fast-paced, exciting, and supportive work environment, where opportunities abound for enterprising, capable, and focused individuals to grow and succeed. Our commitment to teamwork, learning, and advancement has earned us a reputation as a top employer in the region.

How to Apply:

If you are a motivated and customer-focused individual with a passion for delivering exceptional experiences, we invite you to submit your application today. Join our team and take the first step towards a rewarding career with arenaflex. Apply To This Job Apply for this job