Experienced Customer Service Representative – Provider Advocate – Remote in Florida

At arenaflex, we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the healthcare system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

About arenaflex

arenaflex is a leading healthcare company dedicated to improving the lives of millions of people. We're committed to creating a healthier community by removing barriers to quality care. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life.

Job Summary

We're seeking an experienced Customer Service Representative – Provider Advocate to join our team. As a Provider Advocate, you'll play a crucial role in the healthcare industry by serving as the primary point of contact for healthcare providers. Your responsibilities will include resolving issues efficiently, often on the first call, and providing support through various channels like calls and chats. You'll need to navigate multiple systems, collaborate with internal partners, and promote self-service digital tools to enhance provider satisfaction.

Responsibilities

* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues

• Service Providers in a multi-channel environment including call, dual chats, and email 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

• Must be 18 years of age OR older
• 1+ years of customer service experience 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
• This position involves handling provider calls or concurrent chats, with an expected volume of 50 - 70 calls/chats daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods
• Available to work full-time (40 hours/week) Monday - Friday from 9:35am - 6:05pm Central / 10:35am - 7:05pm Eastern. It may be necessary, given the business need, to work some holidays, weekends, and/or overtime as business needs require

Preferred Qualifications

* Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as the primary job tools

• Prior health care experience and knowledge of healthcare terminology
• Currently reside in Florida
• Presently employed within arenaflex Operations & Experience

Soft Skills

* Proficient in multi-tasking, including managing multiple conversations simultaneously

• Skilled in quickly resolving calls and messages, effectively preventing escalated complaints
• Strong time management skills
• High emotional intelligence and empathy
• Excellent active listening and comprehension abilities
• Exceptional written communication skills
• Demonstrated problem-solving, organizational, and interpersonal skills
• Proven track record of consistently achieving quality and productivity standards
• Typing Speed greater than or equal to 35-40 WPM with accuracy of 90%

Work Environment and Culture

* This position is full-time (40 hours/week) Monday - Friday

• Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:35am - 6:05pm Central / 10:35am - 7:05pm Eastern
• It may be necessary, given the business need, to work occasional overtime, weekends, and/or some holidays
• We offer 11 weeks of paid training
• The hours during training will be 8:00am - 4:30pm CST from Monday – Friday (subject to change based on trainer availability)
• Training will be conducted virtually from your home
• 100% attendance is a must during the training period

Compensation and Benefits

* The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment

• Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
• UnitedHealth Group complies with all minimum wage laws as applicable
• In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)

Equal Employment Opportunity

arenaflex is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

How to Apply

If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application through our website or by clicking on the link below. Apply for this job Apply for this job