Introduction to arenaflex
At arenaflex, we are dedicated to improving oral health through innovative benefit plans, advocacy, and community support. As a leader in the dental benefits industry, we recognize the importance of investing in initiatives that build healthy, smart, and vibrant communities for all. Our mission is amplified by our commitment to diversity, equity, and inclusion, and we celebrate our unique culture that empowers employees to take charge of their careers and make a positive impact.
Job Summary
We are seeking an experienced Customer Service Government Programs Training and Support Specialist to join our team. As a key member of our Government Programs department, you will provide day-to-day support to internal and external customers, resolving complex claims, inquiries, grievances, and appeals to ensure accurate benefits administration and delegation. Your expertise will be essential in developing and conducting employee training on department systems and processes, as well as applying corporate policies, procedures, and guidelines.
Primary Job Responsibilities
- Serve as primary support to customer service staff, assisting with detailed interpretation of dental policies, procedure codes, claims processing, Medicare Advantage/Medicaid compliance guidelines, and policies and procedures.
- Research, analyze, adjudicate, and make determinations on difficult claims and inquiries, ensuring accuracy and consistency in benefits administration.
- Develop, coordinate, and conduct new-hire onboarding and training, as well as periodic refresher training on new functionality and processes, to ensure employees have the knowledge and skills necessary to excel in their roles.
- Research and implement training programs using various methods of instruction, identifying areas for improvement and developing strategies to address knowledge gaps.
- Identify, create, and maintain processes and procedures for the Government Programs department, ensuring efficiency, effectiveness, and compliance with regulatory requirements.
- Prescreen claims and inquiries for the Professional Review and Focused Review departments, ensuring timely and accurate processing.
- Collaborate with department management, quality assurance specialists, and reporting specialists to identify process improvements, department trends, and training needs, driving continuous improvement and excellence.
Essential Qualifications
To be successful in this role, you will need:
- A minimum of one year of college, technical, vocational, or business school with coursework in dental assisting or dental hygiene, business administration, and composition.
- At least two years of related work experience, with previous Medicare and/or Medicaid experience preferred.
- Intermediate knowledge of word processing and spreadsheets, as well as dental terminology, procedures, insurance products, and claims processing.
- Ability to analyze and resolve complex problems, identify and research customer complaints/issues, and handle multiple projects and deadlines with ease.
- Excellent verbal and written communication and organization skills, with the ability to work independently and make informed decisions quickly.
- Flexibility to work flexible hours, including some weekends, and adapt to changing priorities and deadlines.
Preferred Qualifications
While not required, the following qualifications are preferred:
- Experience in dental benefits administration, government programs, or a related field.
- Knowledge of procedure writing and training content development, with experience in creating engaging and effective training programs.
- Strong analytical and problem-solving skills, with the ability to identify areas for improvement and develop strategies to address them.
- Excellent interpersonal and communication skills, with the ability to build strong relationships with internal and external stakeholders.
Career Growth Opportunities and Learning Benefits
At arenaflex, we are committed to the growth and development of our employees. As a Customer Service Government Programs Training and Support Specialist, you will have access to:
- Comprehensive training programs, including onboarding, refresher training, and professional development opportunities.
- Mentorship and coaching from experienced professionals, with opportunities for feedback and guidance.
- Cross-functional training and development, with opportunities to explore different areas of the business and develop new skills.
- Performance management and evaluation, with regular feedback and opportunities for growth and advancement.
Work Environment and Company Culture
At arenaflex, we pride ourselves on our unique culture and work environment. As an employee, you can expect:
- A collaborative and supportive team environment, with opportunities to build strong relationships with colleagues.
- A dynamic and fast-paced work environment, with opportunities to adapt to changing priorities and deadlines.
- A commitment to diversity, equity, and inclusion, with opportunities to participate in employee resource groups and diversity initiatives.
- A comprehensive benefits package, including medical, dental, and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flex spending accounts, and tuition reimbursement or educational assistance.
Compensation, Perks, and Benefits
As a Customer Service Government Programs Training and Support Specialist at arenaflex, you can expect:
- A competitive salary and benefits package, with opportunities for growth and advancement.
- Annual incentive compensation based on annual business goals, with opportunities to earn bonuses and rewards.
- Eight hours of paid volunteer time each year, with opportunities to give back to the community and make a positive impact.
- Access to an on-staff health coach and personal trainer, with opportunities to participate in virtual lunchtime workouts and on-site fitness classes.
Conclusion
If you are a motivated and experienced customer service professional looking for a new challenge, we encourage you to apply for the Customer Service Government Programs Training and Support Specialist role at arenaflex. With our commitment to diversity, equity, and inclusion, comprehensive benefits package, and opportunities for growth and development, we offer a unique and rewarding work environment that is sure to inspire and motivate. Join our team today and take the first step towards a fulfilling and successful career in dental benefits administration.
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