**Experienced Customer Service Representative – Remote Opportunity with arenaflex**

**Join arenaflex, a rapidly growing national quality improvement and care management organization, in shaping the future of healthcare. As a Customer Service Representative, you will play a vital role in ensuring that over 20 million people receive the right care, at the right time, in the right setting.** **About arenaflex** arenaflex is a mission-driven organization that is dedicated to improving lives through healthcare quality and clinical expertise. With a strong focus on people and a commitment to excellence, we strive to create a work environment that is supportive, inclusive, and empowering. Our team is passionate about making a real difference in the lives of individuals across the country, and we invite you to join us on this journey. **Perks of this Role** * **Fully remote position**: Work from the comfort of your own home, with rotational shifts available for EST, CT, or PST. * **Full benefits**: Enjoy comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. * **401k with match**: Take advantage of our 401k plan with no vesting period, and let us help you build a secure financial future. * **Paid time off**: Enjoy a great work-life balance with paid time off for relaxation, rejuvenation, and personal growth. * **Career growth opportunities**: Join a rapidly growing organization with a strong focus on professional development and advancement. **Who We Need** We are seeking an experienced Customer Service Representative to provide all customer service support for the Review Team, including: * Interacting with beneficiaries and providers via the helpline * Creation, formatting, and proofreading of letters * Maintaining timeliness and ensuring that all letters are sent out in a timely manner with correct components included and reviewed for grammatical and spacing errors * Getting and validating notices and all components of medical records * Providing intake for all appeals received by arenaflex * Utilizing internal quality control tools to assess individual work and team processes * Proficient in customer service guidelines and standards **Responsibilities** * Responsible for typing/merging, proofing for clarity, printing, and mailing correspondence * Communicate verbally and in writing with external customers to furnish and request review information * Foster effective working relationships between arenaflex's internal and external customers * Assist with and participate in Review Team in identifying areas for potential improvement, as noted on case reviews and process * Answer the Beneficiary Helpline through the utilization of the hunt group and available light functions * Determine how to best assist caller either by a service offered by arenaflex or by referring them to an external agency and properly enter referral into CMS system **Qualifications** * **High school diploma or equivalent**: A high school diploma or equivalent is required for this role. * **Post high school business courses**: While not required, post high school business courses can be beneficial for this position. * **Medical terminology**: Medical terminology is desired, but not required. * **Excellent verbal communication skills**: Excellent verbal communication skills, a courteous and patient demeanor, and the ability to maintain composure under potentially stressful situations are essential for this role. * **Good grammar, punctuation, spelling, hyphenation, and written communications skills**: Good grammar, punctuation, spelling, hyphenation, and written communications skills are required for this position. * **Customer focused, results oriented, and capable of building and maintaining relationships**: Customer focused, results oriented, and capable of building and maintaining relationships with internal and external customers are essential for this role. * **General knowledge of a PC-based computer system**: General knowledge of a PC-based computer system is desirable, and knowledge of various software packages with the ability to learn additional software packages as needed is also beneficial. * **Ability to multi-task and prioritize assignments**: The ability to multi-task and prioritize assignments is essential for this role. * **Good organizational skills and ability to work independently**: Good organizational skills and the ability to work independently are required for this position. **Experience** * **Two to three years clerical experience**: Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities, is required for this role. * **Prior work in a healthcare setting or medical terminology**: Prior work in a healthcare setting or medical terminology is recommended, and previous data entry or other clerical experience is a plus. **Mental and Physical Requirements** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state. **Equal Opportunity Employer** arenaflex is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. **Apply Now** If you are a motivated, energetic, and customer-focused individual who is passionate about making a real difference in the lives of others, we invite you to apply for this exciting opportunity. Please submit your application through our website, and join our team at arenaflex in shaping the future of healthcare. Apply for this job