Senior Customer Service Representative – Healthcare Claims & Provider Support (Remote – Central or Mountain Time Zone)

About arenaflex: Where Compassion Meets Innovation

At arenaflex, we believe that healthcare should be accessible, equitable, and seamlessly delivered to every individual, regardless of their background or circumstances. As a forward-thinking organization operating at the intersection of care and technology, arenaflex is committed to transforming the way people experience the healthcare system. Our mission is simple yet profound: connect millions of individuals with the care, pharmacy benefits, data, and resources they need to lead healthier, fuller lives.

Every member of our team plays a vital role in advancing health equity on a global scale. Whether we are resolving complex claims, supporting dedicated healthcare providers, or streamlining internal processes, we do so with a shared purpose and an unwavering commitment to human dignity. Joining arenaflex means becoming part of a culture that values diversity, fosters inclusion, and celebrates the unique perspectives each colleague brings to our shared mission. Here, talented peers collaborate across departments, comprehensive benefits support your well-being, and robust career development opportunities help you grow professionally and personally.

We are currently seeking a dedicated, detail-oriented, and compassionate professional to join our team as a Senior Customer Service Representative, specializing in healthcare claims support. This is a fully remote opportunity open to candidates residing within the Central or Mountain Time Zone. If you thrive in a structured environment, enjoy solving complex problems, and find meaning in helping others navigate critical healthcare processes, we want to hear from you.

Position Overview

This is a full-time, remote position working Monday through Friday during normal business hours of 8:30 AM to 5:00 PM CST. Occasional overtime may be required based on evolving business needs. To ensure you feel confident and capable in your role, arenaflex provides a comprehensive five-week paid on-the-job training program, conducted from 8:00 AM to 4:30 PM CST. This training will equip you with the knowledge, tools, and practical skills you need to excel in claims processing, provider communication, and customer service excellence.

As a Senior Customer Service Representative at arenaflex, you will be the critical link between healthcare providers and the systems that ensure patients receive timely, accurate care. You will handle inbound calls from physicians, clinics, and other healthcare professionals, navigating multiple platforms to research, verify, and process essential information related to claims, pricing, prior authorizations, and applicable benefits. Every call you take is an opportunity to make a tangible difference in someone's healthcare journey.

Key Responsibilities

• Inbound Call Management: Receive and review high-volume incoming healthcare claim calls from providers, including doctors, clinics, and medical offices, while maintaining professionalism, accuracy, and composure.
• Data Verification and Research: Navigate multiple computer systems and platforms simultaneously to verify essential data and information necessary for processing claims, including pricing details, prior authorization requirements, and applicable benefit coverage.
• Active Listening and Inquiry: Ask appropriate, targeted questions and listen actively to identify the specific concerns or questions of each caller, documenting all required information accurately within computer systems.
• Provider Collaboration: Communicate clearly and empathetically with healthcare providers to resolve issues efficiently, using plain and simple language to ensure complete understanding and avoid confusion.
• Issue Resolution: Independently research problems using multiple information sources, applying critical thinking and sound judgment to arrive at accurate resolutions in a timely manner.
• Performance Standards: Meet or exceed established performance goals in the areas of efficiency, accuracy, quality, and attendance, contributing to the overall success of the team and the satisfaction of the providers we serve.
• Documentation and Compliance: Maintain thorough and accurate records of all interactions, ensuring compliance with internal policies, regulatory requirements, and industry best practices.
• Continuous Improvement: Participate in ongoing training, feedback sessions, and professional development opportunities to stay current with industry changes, system updates, and best practices.

Required Qualifications

• Education: High School Diploma or GED equivalent is required.
• Age Requirement: Must be 18 years of age or older.
• Technical Proficiency: Working knowledge of computers and Windows PC applications, with the ability and willingness to learn new and complex system applications as needed.
• Availability: Must be available to work any shift between 8:30 AM and 5:00 PM CST, Monday through Friday, including the flexibility to work occasional overtime based on business demands.
• Location: Must reside within the Central or Mountain Time Zone to ensure alignment with business operations.
• Secure Work Environment: Required to have a dedicated, secure work area that is separated from other living areas and provides the information privacy necessary to handle sensitive company and patient information.
• Internet Connectivity: Must live in a location capable of receiving an arenaflex-approved high-speed internet connection, or already have access to a reliable high-speed internet service that meets company standards.

Preferred Qualifications

• At least one year of experience in a related environment such as an office, administrative, clerical, or customer service setting, with demonstrated proficiency using phones and computers as primary job tools.
• Prior experience in the healthcare industry, particularly in claims processing, medical billing, or provider relations, is highly valued but not required.
• Bilingual or multilingual capabilities are a plus, given the diverse populations we serve.

Essential Skills and Competencies

Success in this role requires a unique combination of technical aptitude, interpersonal skill, and personal resilience. The ideal candidate will demonstrate:

• De-escalation and Empathy: The ability to handle challenging calls with grace, actively listen to customer needs, and respond with genuine compassion and empathy, even in difficult situations.
• Multitasking Ability: Comfort and efficiency in managing live calls while simultaneously navigating multiple computer systems, databases, and platforms for extended periods.
• Organizational Skills: The capacity to remain organized, focused, and productive while performing highly detailed, repetitive tasks that require sustained attention and accuracy.
• Problem-Solving Skills: Strong analytical thinking and independent research capabilities, including the ability to consult multiple information sources and synthesize findings to resolve complex issues.
• Communication Excellence: Clear, professional verbal and written communication skills, with the ability to explain technical or complex information in simple, accessible language.
• Adaptability: Willingness to embrace change, learn new systems, and adjust to evolving business needs in a dynamic, fast-paced environment.
• Team Collaboration: A collaborative mindset with the ability to work effectively with colleagues, supervisors, and cross-functional teams to achieve shared goals.

Career Growth and Development Opportunities

At arenaflex, we believe that investing in our employees is investing in our future. From your very first day, you will have access to structured training, mentorship programs, and clear pathways for advancement. Whether you aspire to deepen your expertise in claims processing, transition into a leadership role, or explore opportunities in other areas of the organization, we are committed to supporting your professional journey. Many of our senior leaders began their careers in customer service roles just like this one, and we take pride in promoting from within whenever possible.

Our comprehensive benefits package is designed to support your health, financial security, and overall well-being. While specific offerings may vary based on location and tenure, typical benefits include medical, dental, and vision coverage; paid time off; recognition and incentive programs; equity stock purchase opportunities; and a 401(k) retirement savings plan with company contributions. All benefits are subject to eligibility requirements and applicable plan documents.

Compensation and Benefits

For candidates residing in Colorado, the hourly wage range for this position is $16.54 to $32.55 per hour, depending on factors such as local labor markets, education, work experience, certifications, and other relevant considerations. arenaflex complies with all applicable minimum wage laws. In addition to competitive base compensation, we offer a robust benefits package that may include comprehensive health insurance, retirement contributions, paid training, paid time off, and access to wellness and recognition programs designed to reward your contributions and support your long-term success.

Our Commitment to Diversity, Equity, and Inclusion

arenaflex is an Equal Employment Opportunity and Affirmative Action employer. We are deeply committed to building a diverse and inclusive workforce that reflects the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by applicable law.

We believe that everyone, regardless of race, gender, sexuality, age, location, or income, deserves the opportunity to live their healthiest life. Our mission extends beyond our products and services; it encompasses our responsibility as an organization to mitigate our impact on the environment, advance equitable care, address health disparities, and improve health outcomes for all.

Work Environment and Company Culture

Working at arenaflex means joining a community of passionate, mission-driven professionals who care deeply about the work they do and the people they serve. Our remote-first approach for this role offers you the flexibility to work from the comfort of your home while remaining deeply connected to your team through virtual collaboration tools, regular check-ins, and a supportive management structure. We understand that our employees are our greatest asset, and we are dedicated to fostering a culture of respect, transparency, and continuous improvement.

arenaflex is a drug-free workplace. All candidates must successfully pass a drug screening before beginning employment. Additionally, all telecommuters are required to adhere to arenaflex's Telecommuter Policy, which includes maintaining a secure, dedicated workspace and protecting sensitive company and patient information at all times.

How to Apply

If you are ready to bring your skills, compassion, and dedication to a role where every interaction matters, we encourage you to apply today. This position will remain open for a minimum of two business days, and applications will be reviewed on an ongoing basis until a sufficient candidate pool has been collected. Due to high interest, the posting may be removed early, so we recommend submitting your application as soon as possible.

Join arenaflex and become part of a team that is redefining what it means to deliver exceptional service in healthcare. Together, we can advance health equity, support the providers who care for our communities, and build a healthier future for all. Your next chapter starts here.