At arenaflex, we're dedicated to delivering exceptional customer experiences that exceed expectations. As a leading provider of innovative solutions, we're seeking a highly motivated and customer-focused individual to join our team as a Healthcare Insurance Customer Service Representative. If you're passionate about delivering top-notch service, have a knack for problem-solving, and thrive in a fast-paced environment, we want to hear from you!
**Job Summary**
As a Healthcare Insurance Customer Service Representative, you'll be the primary point of contact for providers, members, customers, and brokers, addressing their inquiries and concerns regarding coverage, claim status, benefit interpretation, billing, and authorizations. Your exceptional communication skills, attention to detail, and ability to work independently will make you an invaluable asset to our team.
**Key Responsibilities**
* Answer incoming phone calls efficiently, addressing inquiries on coverage, claim status, benefit interpretation, billing, and/or authorizations
* Respond to inquiries within set timeframes to adhere to department metrics and contractual standards
* Probe and ask appropriate questions to identify specifics of caller inquiries, ensuring first call resolution
* Document details of interactions within the database, including any additional action steps taken as follow-up
* Follow-up with customers or other departments on outstanding issues or concerns, escalating appropriate issues to Supervisor or relevant individual
* Support members by answering calls and proactively working to resolve their questions and concerns
* Strive for first call resolution, working to resolve member issues at the point of contact
* Utilize dual monitors while leveraging computer-based resources to find answers to customers' questions and help simplify next steps for members
* Reach out to internal departments or external resources to help resolve member concerns
* Demonstrate commitment and behavior aligned with the philosophy, mission, values, and vision of arenaflex
* Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies
**Additional Skills & Qualifications**
* Experience working in a call center environment is preferred
* Knowledge of basic insurance concepts is preferred
* Intermediate skills in Microsoft Office, including Outlook, Excel, and Word
* Capacity to multi-task by navigating multiple computer applications and programs simultaneously
**Employee Value Proposition (EVP)**
At arenaflex, we're committed to helping our employees grow and develop their careers. Once hired, there are opportunities for growth outside of the Member Service Rep role, allowing you to expand your skills and expertise.
**Work Environment**
* Remote work arrangement available in Wisconsin
* Hybrid arrangement available with an in-office stipend equivalent to $100 per week, paid in addition to the hourly rate
* Initial training period is a 6-8 week program with a work schedule of Monday - Friday from 8:00am - 4:30pm. After training, you can select a Monday - Friday work schedule of either 8:30am to 5:00pm or 9:00am - 5:30pm
**Remote Requirements**
* Telecommute work site must be a room with a door that shuts
* Telecommuting placement will not provide primary care for any individuals during regularly scheduled work hours
* Reliable internet connection with a minimum of 10 Mbps to accommodate Voice Over Internet Protocol (VOIP)
**Pay And Benefits**
The pay range for this position is $18.25 - $18.25/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
**Workplace Type**
This is a fully remote position.
**Application Deadline**
This position is anticipated to close on May 14, 2025.
**About arenaflex**
We're a leading provider of innovative solutions, accelerating business transformation for our customers. Our expertise in strategy, design, execution, and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe, and Asia, who partner with us for our scale, full-stack capabilities, and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities.
**Equal Opportunity Employer**
arenaflex is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.
If you're passionate about delivering exceptional customer experiences and have a knack for problem-solving, we want to hear from you! Apply now to join our team as a Healthcare Insurance Customer Service Representative.
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