**Experienced Customer Service Representative - Health Care in Nashville, TN at arenaflex**
At arenaflex, we pride ourselves on being a purpose-driven company that invests in the growth and development of our employees. As a leading health care organization, we understand the importance of delivering exceptional customer service to our members. We are seeking an experienced Customer Service Representative to join our team in Nashville, TN. If you are a motivated and compassionate individual with a passion for delivering outstanding customer experiences, we encourage you to apply for this exciting opportunity.
**About arenaflex**
arenaflex is a leading health care organization that is dedicated to providing high-quality, affordable health insurance to our members. We are committed to delivering exceptional customer service and creating a positive experience for our members. Our team of dedicated professionals is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our team.
**Job Summary**
As a Customer Service Representative, you will be responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims. You will work closely with our members, providers, and internal teams to resolve issues and provide exceptional customer service. This is an exciting opportunity to join a dynamic team and make a real difference in the lives of our members.
**Key Responsibilities**
* Process complex claims requiring further investigation, including coordination of benefits and resolving pended claims
* Provide exceptional customer service to our members, responding to their inquiries and resolving issues in a timely and professional manner
* Work closely with our members, providers, and internal teams to resolve issues and provide support
* Utilize our claims processing system to accurately and efficiently process claims
* Develop and maintain a thorough understanding of our products and services, as well as our policies and procedures
* Collaborate with our internal teams to resolve issues and improve processes
* Participate in ongoing training and development to enhance your skills and knowledge
**Required Job Qualifications**
* High School diploma or GED
* Data entry and/or typing experience
* Clear and concise written and verbal communication skills
* Experience processing medical claims
* Ability to work in a fast-paced environment and meet productivity standards
* Strong problem-solving and analytical skills
* Ability to work independently and as part of a team
**Preferred Job Qualifications**
* Referral preference given to applicants able to take and meet testing criteria
* Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week Blue Chip Training class
* Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding
* Knowledge of coordination of benefits principles and terminology
* Experience with multi-tasking and prioritizing
* Strong knowledge of health care industry and regulations
**Essential Skills and Competencies**
* Strong communication and interpersonal skills
* Ability to work in a fast-paced environment and meet productivity standards
* Strong problem-solving and analytical skills
* Ability to work independently and as part of a team
* Strong knowledge of health care industry and regulations
* Ability to learn and adapt to new systems and processes
* Strong attention to detail and accuracy
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we are committed to investing in the growth and development of our employees. We offer a range of training and development programs to help you enhance your skills and knowledge, including:
* Ongoing training and development programs
* Mentorship and coaching opportunities
* Opportunities for advancement and career growth
* Access to industry-leading training and development resources
**Work Environment and Company Culture**
arenaflex is a dynamic and fast-paced organization that is committed to creating a positive and inclusive work environment. We value diversity, equity, and inclusion and are committed to creating a workplace that is welcoming and respectful to all employees. Our team is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our team.
**Compensation, Perks, and Benefits**
arenaflex offers a comprehensive compensation and benefits package to our employees, including:
* Competitive salary range: $17.75 - $27.83
* Annual incentive bonus plan subject to the terms and conditions of the plan
* Comprehensive health insurance package
* 401(k) savings plan
* Pension plan
* Paid time off
* Paid parental leave
* Disability insurance
* Supplemental life insurance
* Employee assistance program
* Paid holidays
* Tuition reimbursement
* Other incentives and benefits
**Pay Transparency Statement**
arenaflex is committed to providing a fair and equitable compensation package to our employees. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience.
**Equal Opportunity Employment Statement**
arenaflex is an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
**How to Apply**
If you are a motivated and compassionate individual with a passion for delivering outstanding customer experiences, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to our online application system. We look forward to hearing from you!
Apply for this job
**About arenaflex**
arenaflex is a leading health care organization that is dedicated to providing high-quality, affordable health insurance to our members. We are committed to delivering exceptional customer service and creating a positive experience for our members. Our team of dedicated professionals is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our team.
**Job Summary**
As a Customer Service Representative, you will be responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims. You will work closely with our members, providers, and internal teams to resolve issues and provide exceptional customer service. This is an exciting opportunity to join a dynamic team and make a real difference in the lives of our members.
**Key Responsibilities**
* Process complex claims requiring further investigation, including coordination of benefits and resolving pended claims
* Provide exceptional customer service to our members, responding to their inquiries and resolving issues in a timely and professional manner
* Work closely with our members, providers, and internal teams to resolve issues and provide support
* Utilize our claims processing system to accurately and efficiently process claims
* Develop and maintain a thorough understanding of our products and services, as well as our policies and procedures
* Collaborate with our internal teams to resolve issues and improve processes
* Participate in ongoing training and development to enhance your skills and knowledge
**Required Job Qualifications**
* High School diploma or GED
* Data entry and/or typing experience
* Clear and concise written and verbal communication skills
* Experience processing medical claims
* Ability to work in a fast-paced environment and meet productivity standards
* Strong problem-solving and analytical skills
* Ability to work independently and as part of a team
**Preferred Job Qualifications**
* Referral preference given to applicants able to take and meet testing criteria
* Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week Blue Chip Training class
* Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding
* Knowledge of coordination of benefits principles and terminology
* Experience with multi-tasking and prioritizing
* Strong knowledge of health care industry and regulations
**Essential Skills and Competencies**
* Strong communication and interpersonal skills
* Ability to work in a fast-paced environment and meet productivity standards
* Strong problem-solving and analytical skills
* Ability to work independently and as part of a team
* Strong knowledge of health care industry and regulations
* Ability to learn and adapt to new systems and processes
* Strong attention to detail and accuracy
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we are committed to investing in the growth and development of our employees. We offer a range of training and development programs to help you enhance your skills and knowledge, including:
* Ongoing training and development programs
* Mentorship and coaching opportunities
* Opportunities for advancement and career growth
* Access to industry-leading training and development resources
**Work Environment and Company Culture**
arenaflex is a dynamic and fast-paced organization that is committed to creating a positive and inclusive work environment. We value diversity, equity, and inclusion and are committed to creating a workplace that is welcoming and respectful to all employees. Our team is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our team.
**Compensation, Perks, and Benefits**
arenaflex offers a comprehensive compensation and benefits package to our employees, including:
* Competitive salary range: $17.75 - $27.83
* Annual incentive bonus plan subject to the terms and conditions of the plan
* Comprehensive health insurance package
* 401(k) savings plan
* Pension plan
* Paid time off
* Paid parental leave
* Disability insurance
* Supplemental life insurance
* Employee assistance program
* Paid holidays
* Tuition reimbursement
* Other incentives and benefits
**Pay Transparency Statement**
arenaflex is committed to providing a fair and equitable compensation package to our employees. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience.
**Equal Opportunity Employment Statement**
arenaflex is an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
**How to Apply**
If you are a motivated and compassionate individual with a passion for delivering outstanding customer experiences, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to our online application system. We look forward to hearing from you!
Apply for this job