Experienced Customer Service Representative – Telephonic Support for arenaflex Members

As a dedicated and compassionate customer service representative, you will play a vital role in delivering exceptional support to arenaflex members, ensuring a seamless and positive experience. arenaflex is a leading healthcare organization that prioritizes employee satisfaction and well-being, offering a comprehensive benefits package and a supportive work environment. If you're passionate about providing top-notch customer service, are a team player, and thrive in a fast-paced environment, we encourage you to apply for this exciting opportunity.

About arenaflex

arenaflex is a dynamic and growing Independent Physician Association in Southern California, committed to delivering high-quality healthcare services to our members. Our organization values teamwork, learning, and advancement, providing opportunities for growth and development. We believe that our employees' success is our success, and we strive to create a work environment that promotes balance, security, and overall well-being.

Key Responsibilities

As an Experienced Customer Service Representative, you will be responsible for:

• Responding to telephone inquiries from arenaflex members, providing information and clarification on various services, including authorizations, member billing, referrals, and eligibility.
• Maintaining or exceeding quality and productivity standards, handling a minimum of 35 calls per day with matching documentation.
• Anticipating members' needs, understanding their wants and needs, and identifying the level of intervention required.
• Utilizing standardized processes, tools, and researching EZCAP 6X and REA/LEA Systems to resolve routine or complex issues.
• Documenting all interactions in the EZCAP 6X customer service module and REA/LEA.
• Providing essential information to members regarding authorizations, billing issues, eligibility, and urgent cares.
• Maintaining patient confidentiality, adhering to HIPAA and PHI processes.
• Accessing Interpretation language line for non-English patients as needed.
• Working independently to resolve telephonic issues, handling designated assignments, and prioritizing work to maintain workflow.
• Ensuring accurate and professional written and verbal communication with all levels of management and staff.
• Displaying a warm and pleasant phone personality, emphasizing tact, empathy, good judgment, and patience.
• Self-starting, willing to take on multiple tasks, and reviewing and interpreting health plan benefits and provider contracts.

Essential Qualifications

* Minimum two (2) years of customer service or healthcare setting experience.

• Multi-line telephone experience.
• High School Diploma or equivalent required.
• Ability to deal responsibly with matters of a confidential nature.
• Ability to multi-task and meet deadlines in a high-stress environment.
• Excellent communication skills, both verbal and written.
• Ability to read, write, and understand the English language.
• Pleasant telephone manner and telephone etiquette.
• Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access, and PowerPoint).
• Knowledge of computers, faxes, printers, and all other office equipment.
• Typing 45 WPM with accuracy.

Preferred Qualifications

* Experience in a healthcare setting or related field.

• Knowledge of CPT, HCPCS, and other healthcare-related terminology.
• Ability to interface with customers both internal and external of arenaflex.
• Strong organizational skills with emphasis on prioritizing and attention to details.
• Ability to communicate effectively orally and written, answering and resolving a minimum of 35 calls per day with matching documentation.

Benefits and Compensation

arenaflex offers a comprehensive benefits package, including:

• Competitive hourly rate: $20-$21 per hour (commensurate with experience).
• Opportunities for career growth and advancement.
• Comprehensive medical, pharmacy, and dental benefits for employees.
• Vision insurance.
• Zero co-payments for employed physician office visits.
• Flexible Spending Account (FSA).
• Employer-Paid Life Insurance.
• Employee Assistance Program (EAP).
• Behavioral Health Services.
• 401(k) Retirement Savings Plan.
• Income Protection Insurance.
• Vacation Time.
• Company celebrations.
• Employee Assistance Program.
• Employee Referral Bonus.
• Tuition Reimbursement.
• License Renewal CEU Cost Reimbursement Program.
• Business-casual working environment.
• Sick days.
• Paid holidays.
• Mileage.

Work Environment and Culture

arenaflex is committed to creating a supportive and inclusive work environment that promotes employee satisfaction and well-being. Our organization values teamwork, learning, and advancement, providing opportunities for growth and development. We believe that our employees' success is our success, and we strive to create a work environment that promotes balance, security, and overall well-being.

How to Apply

If you're a motivated and customer-focused individual who is passionate about delivering exceptional support to arenaflex members, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we will review your qualifications and experience.

Equal Employment Opportunity

arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, regardless of their background, culture, or identity. Apply for this job