**Experienced Healthcare Customer Service Member Advocate – Patient Advocacy and Care Coordination**

At arenaflex, we're dedicated to helping our clients achieve their goals by providing innovative payment accuracy solutions that allow them to focus on what matters most – quality of care and healthier lives for all. As a premier independent healthcare payment integrity company in the US, we're committed to fostering an Ownership Culture that values People, Innovation, Integrity, Fun, and fostering an Ownership Culture. If you're seeking an employer who shares these values and is passionate about making a difference in the lives of patients, then arenaflex is the place for you! **About the Opportunity:** We're seeking an experienced Healthcare Customer Service Member Advocate to join our team. As a key member of our patient advocacy and care coordination team, you'll play a vital role in ensuring that our clients' patients receive the highest level of care and support. This is a unique opportunity to make a meaningful difference in the lives of patients and their families, while also developing your skills and expertise in patient advocacy and care coordination. **Key Responsibilities:** * Make outbound calls to patients who have indicated perceived gaps in care, providing education and support to help them navigate the healthcare system * Take inbound calls, answer questions, and provide information to patients regarding our programs and services * Develop professional working relationships with patients, healthcare providers, and other contractors to ensure seamless care coordination * Conduct critical due diligence follow-ups to resolve patient concerns and complaints * Enter and update all contact and activity information into our system, ensuring accurate and timely documentation * Notify management of any issues or concerns that may impact patient care or program delivery * Communicate with other staff and departments as necessary to ensure effective care coordination * Maintain current knowledge of campaign regulations, policies, and procedures * Maintain HIPAA Certification and adhere to all relevant laws and regulations * Perform miscellaneous duties as assigned in a highly professional manner **Knowledge, Skills, and Abilities Needed:** * Excellent verbal and written communication skills, with the ability to communicate effectively with patients, healthcare providers, and other stakeholders * Skilled in data entry and knowledge of computers, with the ability to navigate our system and enter accurate and timely information * Courteous, professional, and respectful attitude, with a strong commitment to patient-centered care * Strong understanding of customer service policies and processes, with the ability to apply this knowledge in a patient advocacy and care coordination role * Member customer service background, with experience in patient advocacy and care coordination * Flexibility to handle any non-standard situations that may arise, with the ability to think critically and solve problems effectively * Must be able to multitask and prioritize tasks effectively to ensure timely and accurate completion **Required and Preferred Qualifications:** * At least 4 years of medical customer service experience, with a strong background in patient advocacy and care coordination * At least 1 year of medical claims processing and/or billing experience, with a strong understanding of healthcare regulations and policies * High School diploma or equivalent is required, with a strong commitment to ongoing learning and professional development **What We Offer:** At arenaflex, we're committed to providing a comprehensive benefits package that supports the health, well-being, and career development of our employees. Our benefits include: * Medical, dental, vision, disability coverage options * Life insurance coverage * 401(k) savings plans * Paid family/parental leave * 11 paid holidays per year * Sick time and vacation time off annually * Opportunities for professional development and career advancement * A dynamic and supportive work environment that values diversity, equity, and inclusion **Physical Requirements and Additional Notices:** * If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required * Proof of such may be required prior to an offer being made * The employee is responsible for maintaining this Internet access at their home office location * The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment: + Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. + Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). + Regularly sit/stand 8 or more hours per day. + Occasionally lift/carry/push/pull up to 10lbs. **Performant is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:** * Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions) * Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions * Some positions may require the total absence of felony and/or misdemeanor convictions * Must not appear on any state/federal debarment or exclusion lists * Must complete the arenaflex Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures * Other requirements may apply **All employees and contractors for arenaflex may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to arenaflex's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.** **arenaflex is committed to the full inclusion of all qualified individuals. In keeping with our commitment, arenaflex will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact arenaflex's Human Resources team to discuss further.** **Our diversity makes arenaflex unique and strengthens us as an organization to help us better serve our clients. arenaflex is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.** **THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED** Apply for this job