Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you thrive in a fast-paced, dynamic environment where no two interactions are ever the same? If so, we invite you to join arenaflex as a Provider Customer Service Call and Chat Representative. As a key member of our team, you will play a vital role in supporting healthcare providers who care for our members, ensuring they receive the highest level of service and support.
**About arenaflex**
At arenaflex, we are dedicated to simplifying the healthcare experience and creating healthier communities. Our mission is to provide innovative solutions that empower healthcare providers to deliver exceptional care to their patients. As a leading healthcare organization, we are committed to fostering a culture of excellence, diversity, and inclusion, where our employees can grow, learn, and thrive.
**Job Summary**
As a Provider Customer Service Call and Chat Representative, you will serve as an advocate for healthcare providers, demonstrating accountability and ownership in resolving issues. You will engage with providers in a multi-channel environment, including calls and chats, and will be responsible for triaging contacts from healthcare professionals, understanding their needs, and providing timely resolutions to their inquiries. In this role, you will research and dissect complex prior authorization and claim issues, collaborating with multiple internal partners to ensure effective communication and resolution.
**Responsibilities**
* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues.
* Service providers in a multi-channel environment including call and concurrent chat as required.
* Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
* Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
* Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction.
* Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
* Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types.
* Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution.
**Requirements**
* High School Diploma / GED OR equivalent work experience.
* 1+ years of customer service experience with analyzing and solving customer's concerns.
* Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications.
* Ability to type at the speed of greater than or equal to 35 - 40+ WPM with an accuracy of 90%.
* Must be 18 years of age or older.
* Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday.
**Nice-to-haves**
* Prior health care experience and knowledge of healthcare terminology.
* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
**Benefits**
* Comprehensive benefits package
* Incentive and recognition programs
* Equity stock purchase
* 401k contribution
**What We Offer**
As a Provider Customer Service Call and Chat Representative at arenaflex, you will enjoy a challenging and rewarding work environment with opportunities for professional growth and development. Our comprehensive benefits package includes:
* Competitive salary and bonus structure
* Comprehensive health insurance, including medical, dental, and vision coverage
* 401k plan with company match
* Paid time off and holidays
* Opportunities for professional development and advancement
* Collaborative and dynamic work environment
**How to Apply**
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, through our website. We look forward to hearing from you!
**Work Environment and Company Culture**
As a remote employee, you will have the flexibility to work from the comfort of your own home, with the ability to connect with colleagues and managers through our virtual collaboration tools. Our company culture is built on the values of excellence, diversity, and inclusion, where we strive to create a work environment that is inclusive, supportive, and empowering.
**Compensation, Perks, and Benefits**
We offer a competitive salary and bonus structure, comprehensive health insurance, 401k plan with company match, paid time off and holidays, and opportunities for professional development and advancement. Our comprehensive benefits package is designed to support your physical, emotional, and financial well-being, while also providing opportunities for growth and development.
**Conclusion**
As a Provider Customer Service Call and Chat Representative at arenaflex, you will have the opportunity to make a meaningful impact in the healthcare industry, while also enjoying a challenging and rewarding work environment with opportunities for professional growth and development. If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity.