Experienced Medical Claims Customer Service Representative – Remote Healthcare Support Specialist
**Job Description:**
About arenaflex
At arenaflex, we're revolutionizing the healthcare industry by harnessing the power of data-driven insights, AI, and predictive analytics. Our mission is to make high-quality healthcare more accessible, enhance patient health outcomes, and renew the satisfaction of practicing medicine for healthcare providers. By integrating empathy with cutting-edge technology, we're fostering stronger connections between patients and providers, empowering our partners to deliver exceptional healthcare that prioritizes outcomes and value for all patients.
Our physician-led team is dedicated to operational excellence, and we're committed to creating a work environment that values diversity, inclusion, and belonging. We're an equal opportunity employer, and we make employment decisions without regard to protected status. Our team is passionate about delivering exceptional customer service, and we're seeking an experienced Medical Claims Customer Service Representative to join our remote team.
Your Role
As a Medical Claims Customer Service Representative, you'll be a key player in our team, ensuring timely and effective responses to client and member calls. Your role involves solving problems, working collaboratively, and meeting quality standards. You'll provide courteous and professional service while handling various tasks and projects, including mailing assistance.
Key Responsibilities:
- Handle client and member calls with accuracy and follow-through.
- Deliver outstanding customer service.
- Address inquiries related to claims payment, status, and coverage information.
- Interpret client health plan protocols.
- Assist with claims processing tasks, including reports and workflow queues.
- Document calls accurately and maintain high professionalism.
- Return incoming calls and perform additional duties as assigned.
What You'll Need
To succeed in this role, you'll need:
- 1 to 3 years of customer service experience in healthcare.
- Knowledge of healthcare claims processing.
- Experience in a high-volume call center.
- Background in healthcare or health insurance.
- Familiarity with BCBS HMOI or other insurance plans is a plus.
- Proficiency in Microsoft Office and multiple systems.
- Excellent verbal and written communication skills.
- Availability for an 8-hour shift between 8 AM and 6 PM Central Time.
What We'd Love
While experience with HMO Managed Care and Medicare Advantage is a plus, we're open to candidates with a strong background in healthcare or health insurance. If you have a passion for delivering exceptional customer service and a commitment to operational excellence, we'd love to hear from you.
Benefits
At arenaflex, we're committed to supporting you and your family with the following benefits:
- Work from Home: Enjoy the flexibility of a fully remote position, reducing commute time and allowing you to focus on your professional and personal goals.
- Health Coverage: Comprehensive Medical, Dental, and Vision plans to keep you and your family well-covered.
- Retirement Planning: Our 401(k) plan includes a 3% employer match on your 6% contribution.
- Peace of Mind: Life and Disability insurance, with optional additional coverage for you and your loved ones.
- Support During Tough Times: Access our Employee Assistance Program (EAP) for extra support.
- Flexible Time Off: Tailored PTO to help you achieve work-life balance and meet personal goals.
- Paid Parental Leave: Time off to support you when welcoming a new family member.
- Professional Growth: Resources and opportunities dedicated to your career development.
Compensation
The base pay range for this role is between $18.45 and $20.50 per hour, paid bi-weekly. Final pay rates are based on factors such as skill set, relevant experience, education, location, and certifications.
Equal Opportunity Employment
We are committed to diversity, inclusion, and belonging. We are an equal opportunity employer and make employment decisions without regard to protected status. We ensure fair treatment in all aspects of employment.
Security Policies
This role involves adhering to all security policies and procedures to protect all PHI and intellectual properties. Specific responsibilities for security-related roles will be defined by the hiring manager.
Employment Type
This is a full-time position, and we offer a competitive salary and benefits package.
How to Apply
If you're passionate about delivering exceptional customer service and committed to operational excellence, we'd love to hear from you. Please apply through our website, and we'll be in touch to discuss your qualifications further.
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