Job Description
At arenaflex, we're committed to delivering exceptional customer experiences that exceed our members' expectations. As a Customer Service Representative II, you'll play a vital role in providing timely and accurate responses to member and provider inquiries, ensuring seamless interactions and fostering a culture of empathy and understanding. **About arenaflex** arenaflex is a dynamic organization dedicated to improving the lives of our members and communities. We strive to create a diverse and inclusive workforce, where everyone feels valued, respected, and empowered to make a difference. Our commitment to equity, social justice, and community well-being drives our work, and we're passionate about creating a positive impact. **The Role** As a Customer Service Representative II, you'll be part of a collaborative team that responds to member and provider inquiries regarding benefits, eligibility, claims status, and other related issues. Your primary responsibilities will include: * Providing first call resolution by responding accurately and courteously to member and provider inquiries * Documenting inquiries, complaints, and other data in our computer database in an accurate, clear, and timely manner * Supporting CHPW members during the Medicare Annual Election Period, including working variable shifts and weekend hours * Advising providers on the outcome of claim processing and taking appropriate action on behalf of the provider and arenaflex * Meeting attendance and call quality standards * Performing all functions of the job with accuracy, attention to detail, and within established timeframes **Essential Qualifications** To succeed in this role, you'll need: * A minimum of three (3) years of call center experience, preferably in insurance, managed care, or from a provider setting * Experience with state and federal programs, including Washington Apple Health, Medicare Advantage Plans * Knowledge of medical terminology and healthcare * Excellent verbal and written communication skills, including typing * Ability to gather and assess information from multiple systems, apply protocols, and determine appropriate actions * Ability to use MS Office products, such as Outlook, Word, and Excel **Preferred Qualifications** While not required, the following qualifications will make you an even stronger candidate: * Experience working in a 100% remote environment * Familiarity with claims and claims processing * Knowledge of medical terminology and healthcare * Ability to summarize calls, notes, and create clear and concise documentation **Skills and Competencies** To excel in this role, you'll need: * Excellent communication and interpersonal skills * Ability to work in a fast-paced environment with multiple priorities * Strong analytical and problem-solving skills * Ability to learn and adapt to new systems and processes * Strong attention to detail and accuracy * Ability to work independently and as part of a team **Career Growth Opportunities and Learning Benefits** At arenaflex, we're committed to helping you grow and develop your skills. You'll have access to: * Ongoing training and development opportunities * Mentorship and coaching from experienced colleagues * Opportunities for career advancement and professional growth * A supportive and inclusive work environment that encourages collaboration and innovation **Work Environment and Company Culture** As a remote employee, you'll have the flexibility to work from anywhere, while still being part of a dynamic and supportive team. Our company culture is built on: * Empathy and understanding * Collaboration and teamwork * Innovation and creativity * Continuous learning and growth * Diversity, equity, and inclusion **Compensation, Perks, and Benefits** arenaflex offers a competitive salary, as well as a range of benefits and perks, including: * Medical, Prescription, Dental, and Vision coverage * Telehealth app * Flexible Spending Accounts, Health Savings Accounts * Basic Life AD&D, Short and Long-Term Disability * Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous employer match * Employee Assistance Program and Mental Fitness app * Financial Coaching, Identity Theft Protection * Time off, including PTO accrual starting at 17 days per year * 40 hours Community Service volunteer time * 10 standard holidays, 2 floating holidays * Compassion time off, jury duty **Sensory, Physical, and Mental Requirements** This role requires: * Extended periods of sitting, computer use, talking, and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion * Frequent torso/back static position; occasional stooping, bending, and twisting * Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations * Analytical/problem solving/critical thinking ability **Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities** arenaflex is an equal opportunity employer committed to a diverse and inclusive workforce. We welcome applications from qualified candidates who share our values and are passionate about making a difference. **Take the Next Step** Are you ready to join our team and make a positive impact? Apply now and let's discuss how you can become a vital part of our success story. Apply for this job