**Experienced Customer Service Representative – Work From Home Opportunity with arenaflex**

**Job Summary:** Join arenaflex, a leading healthcare organization dedicated to delivering enhanced human-centric healthcare, as a Customer Service Representative in a work-from-home setting. As a key member of our team, you will play a vital role in managing customer queries, resolving complaints, and providing exceptional service to our clients. If you possess excellent communication skills, a passion for delivering outstanding customer experiences, and a strong work ethic, we encourage you to apply for this exciting opportunity. **About arenaflex:** arenaflex is a dynamic and innovative healthcare organization that shares a single, clear purpose: Bringing our heart to every moment of your health. Our commitment to delivering enhanced human-centric healthcare for a rapidly changing world is guided by our brand, with heart at its center. We believe that how we deliver our services is just as important as what we deliver, and our Heart At Work Behaviors support this purpose. We want everyone who works at arenaflex to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make healthcare more personal, convenient, and affordable. **Responsibilities:** As a Customer Service Representative with arenaflex, you will be responsible for: * Maintaining a positive, empathetic, and professional attitude toward customers at all times * Responding promptly to customer inquiries and resolving complaints in a timely and efficient manner * Communicating with customers through various channels, including phone, email, and chat * Processing orders, forms, applications, and requests with accuracy and attention to detail * Keeping records of customer interactions, transactions, comments, and complaints * Communicating and coordinating with colleagues as necessary to ensure seamless customer service * Providing feedback on the efficiency of the customer service process to drive continuous improvement * Managing a team of junior customer service representatives (in the future) **Key Responsibilities:** * Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors * Triages resulting rework to appropriate staff * Provide excellent customer services for high-volume inbound provider calls for the Claims Inquiry/Claims Research team * Extensive claims research on multiple platforms to assist providers with payment questions * Provides the customer with related information to answer unasked questions, e.g., additional plan details, benefit plan details, member self-service tools, etc. * Uses customer service threshold framework to make financial decisions to resolve member issues * Explains member's rights and responsibilities in accordance with contract * Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance, and appeals (member/provider) via target system * Educates & assists providers on our self-service options * Assists providers with credentialing and re-credentialing and contracting questions and issues * Assists in compiling claim data for customer audits * Determines medical necessity, applicable coverage provisions, and verifies member plan eligibility relating to incoming correspondence and internal referrals **Requirements:** * Must live in the state of Oklahoma full-time * Familiarity with Microsoft Office products * Experience in highly transactional call center environment * Excellent customer service and critical thinking skills * High-speed internet access (25 mbps or higher) and consistent connection * Work location must be set up with a direct connection to the router (NOT Wi-Fi) * We provide a 6 ½ foot long ethernet cord, if the distance is further, you will be required to provide your own ethernet cable **Education:** * High School diploma or GED equivalent **Work Environment and Culture:** As a work-from-home Customer Service Representative with arenaflex, you will enjoy a flexible and dynamic work environment that allows you to work from the comfort of your own home. Our company culture values employee empowerment, innovation, and customer-centricity, and we strive to create a work environment that is inclusive, supportive, and fun. **Career Growth Opportunities and Learning Benefits:** arenaflex is committed to the growth and development of our employees. As a Customer Service Representative, you will have opportunities to learn and grow with our company, including: * Ongoing training and development programs to enhance your skills and knowledge * Opportunities for career advancement and professional growth * Access to industry-leading tools and technologies * Collaborative and supportive work environment **Compensation, Perks, and Benefits:** arenaflex offers a competitive compensation package, including: * Competitive hourly rate * Opportunities for bonuses and incentives * Comprehensive benefits package, including medical, dental, and vision insurance * 401(k) retirement plan with company match * Paid time off and holidays * Flexible work arrangements and work-from-home options **How to Apply:** If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. **Equal Employment Opportunity:** arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a work environment that is inclusive, supportive, and respectful of all employees. **Contact Information:** If you have any questions or would like to learn more about this opportunity, please contact our HR department at [insert contact information]. **Apply Now:** Ready to join our team and start delivering exceptional customer service? Apply now and take the first step towards a rewarding career with arenaflex! Apply for this job