Are you a highly motivated and customer-focused individual looking to take your career to the next level? Do you have a passion for delivering exceptional service and a strong understanding of the healthcare industry? Look no further! arenaflex is seeking an experienced Bilingual (Spanish) Customer Service Representative to join our remote team. As a key member of our customer service team, you will play a vital role in providing top-notch support to our clients and members, ensuring their needs are met and exceeded.
**About arenaflex**
arenaflex is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, arenaflex leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, arenaflex empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
**Job Description**
As an Experienced Bilingual (Spanish) Customer Service Representative, you will be responsible for providing exceptional customer service to our clients and members, handling a high volume of calls, and resolving issues in a timely and professional manner. Your strong communication skills, both written and verbal, will enable you to effectively communicate with clients, providers, and internal teams to ensure seamless service delivery.
**Key Responsibilities:**
* Answering client and member calls in a timely manner, providing accurate and timely handling of client and member calls with total follow through
* Providing excellent customer service, ensuring a high level of professionalism and courtesy
* Answering client and provider questions, including claims payment, status, and coverage information
* Interpreting client health plan protocol and providing guidance to clients and providers
* Backup to the claims processing area, assisting with reports and workflow queues as assigned
* Maintaining accurate and complete call documentation
* Returning incoming calls and resolving issues in a timely and professional manner
* Other duties as assigned by management
**Qualifications:**
* Bilingual (English/Spanish) required
* Minimum of 2 years experience in a high-volume healthcare call center required
* Knowledge of healthcare claims review or processing required
* Health Care/Health insurance background required
* Experience with BCBS HMOI or other insurance plans a plus
* Use of multiple systems, including Teams and Excel, Jira is a plus
* Excellent verbal and written communication skills
* Must be available for an 8-hour shift between 8am to 6pm Central time
**Preferred Qualifications:**
* HMO Managed care Medicare Advantage experience
**Benefits:**
* Competitive salary range of $19.00 to $20.00 per hour, paid bi-weekly
* Comprehensive benefits package, including:
+ Work from Home: arenaflex is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
+ Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
+ Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
+ Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
+ Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
+ Take Time for Yourself: We offer Flexible Time Off tailored to meet your needs and the needs of the business, helping you achieve work-life balance and meet your personal goals.
+ Support Your New Family: Welcoming a new family member takes time and commitment. arenaflex offers paid parental leave to give you the time you need.
+ Learn and Grow: Your professional growth is important to us. arenaflex offers various resources dedicated to your learning and development to advance your career with us.
**Equal Opportunity Employment:**
arenaflex is an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.
**Protection of Patient and Company Data:**
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under arenaflex's custodianship as well as arenaflex Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.
**How to Apply:**
If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and take the first step towards a rewarding new role.