Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in fast-paced environments where no two calls or chats are ever the same? If so, we invite you to join arenaflex, a leading healthcare organization dedicated to simplifying the healthcare experience and creating healthier communities.
As an Experienced Customer Service Representative – Provider Support and Engagement, you will play a vital role in supporting providers who care for our members. Your primary responsibility will be to provide timely and accurate responses to questions and concerns related to benefits, eligibility, billing, clinical authorizations, and behavioral health. You will be the advocate for providers, demonstrating accountability and ownership to resolve issues and ensure their needs are met.
**About arenaflex**
arenaflex is a dynamic and innovative organization that is revolutionizing the healthcare industry. We are committed to creating a healthier world by simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and make the health system work better for everyone.
**Job Summary**
As an Experienced Customer Service Representative – Provider Support and Engagement, you will be responsible for:
* Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues
* Providing timely and accurate responses to questions and concerns related to benefits, eligibility, billing, clinical authorizations, and behavioral health
* Quickly and appropriately triaging contacts from healthcare professionals (i.e., physician offices, clinics, billing offices)
* Researching and dissecting complex prior authorization and claim issues and taking appropriate steps to resolve identified issues
* Collaborating 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
* Influencing providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool
**Key Responsibilities**
* Provide exceptional customer service to providers, responding to their questions and concerns in a timely and accurate manner
* Utilize multiple communication channels, including phone and chat, to engage with providers and resolve issues
* Collaborate with internal partners to ensure issues are resolved and thoroughly communicated to providers
* Research and resolve complex prior authorization and claim issues
* Develop and maintain knowledge of arenaflex's products and services, as well as healthcare terminology and concepts
* Meet or exceed productivity and quality standards, including call handling time, first call resolution, and customer satisfaction
**Requirements**
* High School Diploma or equivalent work experience
* Must be 18 years of age or older
* 1+ years of customer service experience with analyzing and solving customer concerns
* Experience with computer and Windows PC applications, including 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%
* 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
**Preferred Qualifications**
* Prior healthcare 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
**Telecommuting Requirements**
* Reside within Eastern, Central, or Mountain Time Zone
* Ability to keep all company-sensitive documents secure (if applicable)
* Required to have a dedicated work area established that is separated from other living areas and provides information privacy
* Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills**
* Ability to multi-task, including the ability to type in multiple conversations
* Ability to resolve calls and messages, avoiding escalated complaints
* Time management skills
* Emotional Intelligence and Empathy
* Active Listening and Comprehension
* Excellent written communication skills
* Demonstrated problem-solving, organization, and interpersonal skills
* Demonstrated experience consistently achieving quality and productivity standards
**Benefits and Compensation**
* Competitive salary
* Comprehensive benefits package, including medical, dental, and vision insurance
* Incentive and recognition programs
* Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
* Opportunity to work in a dynamic and innovative organization that is revolutionizing the healthcare industry
**How to Apply**
If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
**Equal Employment Opportunity**
arenaflex is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
**Drug-Free Workplace**
arenaflex is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.