**Experienced Part-Time Remote Customer Service Representative – Healthcare Industry**

At arenaflex, we're passionate about empowering better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. As a Customer Service Representative at arenaflex, you'll play a vital role in delivering exceptional customer experiences and ensuring that our clients receive the highest level of service. If you're a motivated and customer-focused individual with a passion for the healthcare industry, we want to hear from you! **Job Summary:** The purpose of this part-time remote Customer Service Representative position is to answer incoming telephone calls, and resolve customer questions, complaints, and requests while adhering to internal policies and procedures and utilizing working knowledge of the organization's services to meet productivity and quality standards. **Key Responsibilities:** * Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational) * Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes * Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times * Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures * Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients * Perform verification of healthcare services to facilitate payment for received services * Identify medical claims meeting CPT/DRG audit criteria and submits the necessary billing data and healthcare records to the third-party auditor * Serve as liaison between the internal and external partners * Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party * Meet or exceed standards for call volume and service level per department guidelines * Initiate cases by collecting and entering demographic, provider, and procedure information into the system * May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting **Requirements:** * High School diploma or equivalent * Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications * Effective verbal and listening skills to provide courteous and professional customer service **Preferred Qualifications:** * Knowledge of the health insurance industry * Experience working in a healthcare setting * Medical terminology knowledge is preferred * Bilingual (Spanish/English) skills are a plus * Minimum of two years of customer service experience **Why Join arenaflex?** * We're a team of passionate individuals dedicated to being a vital partner for health solutions in the public sector * You'll have meaningful work that genuinely improves people's lives nationwide * Our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career * We offer a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more * Our compensation package includes a competitive hourly rate, with opportunities for growth and advancement **Work Environment and Company Culture:** * As a remote employee, you'll have the flexibility to work from home and enjoy a better work-life balance * Our company culture is built on a foundation of collaboration, innovation, and customer-centricity * We're committed to creating a diverse and inclusive work environment that values and celebrates individual differences **Compensation and Benefits:** * The pay range for this position is $15.48-$17.20 an hour * Our benefits package includes comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more **How to Apply:** If you're a motivated and customer-focused individual with a passion for the healthcare industry, we want to hear from you! Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today! **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, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. Apply for this job