At arenaflex, we're committed to delivering exceptional customer experiences that drive better health outcomes. As a passionate and dedicated team, we're seeking an experienced Absence Management Customer Service Representative to join our remote team. This is an exciting opportunity to work with a dynamic organization that's redefining the healthcare industry.
**About arenaflex**
arenaflex is a rapidly expanding national organization dedicated to quality improvement and care management. Following a 2022 merger of CNSI and Kepro, we've combined clinical services, technology solutions, and data analytics to accelerate better health outcomes. Our culture is fueled by passion and driven by purpose. We're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.
**Job Overview**
The Absence Management Customer Service Representative plays a pivotal role in supporting the prior authorization process. This role involves handling incoming calls, resolving customer inquiries, complaints, and requests. The ideal candidate will adhere to internal policies and procedures while utilizing their in-depth understanding of our organization's services to maintain high productivity and quality standards.
**Key Responsibilities**
* Maintain a comprehensive understanding of internal policies, procedures, and services
* Use internal systems for logging and retrieving information, ensuring accurate and timely data entry
* Respond to inquiries from customers or providers through various channels such as telephone, email, fax, or mail within specified turnaround times
* Address telephone inquiries and complaints promptly, accurately, and courteously, following established procedures
* Engage with hospitals, physicians, beneficiaries, and other program recipients
* Investigate, resolve, or escalate customer problems as needed
* Meet or exceed call volume and service level standards as per departmental guidelines
* Initiate files by collecting and entering demographic, provider, and procedure information into the system
* Act as a liaison between Review Supervisors and external providers
* Maintain detailed logs and documentation of incoming and outgoing calls
**Essential Qualifications, Knowledge, Skills, and Experience**
* Minimum of 2 years of customer service/telephone experience in a call center environment or related industry
* Proficiency in spoken English to effectively communicate over the telephone
* Excellent verbal and listening skills, delivering courteous and professional customer service
* Strong PC skills including electronic mail, intranet usage, and standard applications
* Ease in navigating electronic equipment and systems while multitasking on a computer during telephone conversations
* Ability to research, investigate, and maintain composure while handling difficult calls
* Adherence to confidentiality policies and procedures
* High School diploma or equivalent
**Additional Qualifications that Would Be Beneficial**
* Completion of medical terminology course(s)
* Knowledge of medical terminology and/or experience in the health insurance industry
* Bilingual proficiency in Spanish and English
**Why Join arenaflex?**
We're a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. You'll have meaningful work that genuinely improves people's lives across the country.
**Benefits**
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
**Compensation**
The compensation for this role is $17.00 to $19.00 per hour to start. Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to helping you grow and develop your skills. You'll have access to training programs, mentorship opportunities, and a supportive team that will help you achieve your career goals.
**Work Environment and Company Culture Highlights**
We're a remote-friendly organization that values flexibility and work-life balance. Our company culture is built on collaboration, innovation, and a passion for delivering exceptional customer experiences.
**How to Apply**
If you believe you have what it takes to join our team, submit your application without delay. We're keen to hear from talented candidates like you.
**Equal Opportunity Employer**
arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.