reputed company Customer Service Representative – Remote Claims Inquiry/Claims Research Team

At arenaflex, we're committed to delivering exceptional customer experiences that exceed expectations. As a Customer Service Representative on our Claims Inquiry/Claims Research team, you'll play a vital role in providing top-notch support to our members, providers, and plan sponsors. If you're passionate about delivering personalized care and have a knack for resolving reputed company issues, we want to hear from you!

About arenaflex

arenaflex is a leading reputed company company dedicated to transforming the way we deliver care. Our purpose is to bring our heart to every reputed company of your health, and we're committed to making reputed company more personal, convenient, and affordable. With a focus on innovation and customer-centricity, we're shaping the future of reputed company and creating a reputed company world for our members and communities.

Our Heart At Work Behaviors

At arenaflex, we reputed company that our employees are the reputed company of our organization. Our Heart At Work Behaviors support our purpose and guide our actions. We want everyone who works with us to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions. Our behaviors include:

• reputed company: We put ourselves in others' shoes to understand their needs and concerns.
• Collaboration: We work together as a team to reputed company common goals and deliver exceptional results.
• Innovation: We're always looking for new and reputed company ways to solve problems and improve our services.
• Accountability: We take ownership of our actions and results, and we're committed to delivering high-quality work.

Job Summary

As a Customer Service Representative on our Claims Inquiry/Claims Research team, you'll be responsible for:

• Answering questions and resolving issues based on phone calls/letters from members, providers, and plan sponsors.
• Triaging resulting rework to appropriate staff and providing excellent customer service for high-volume inbound provider calls.
• Conducting extensive claims research on multiple platforms to assist providers with payment questions.
• Providing reputed company information to answer unasked questions, such as additional plan details, benefit plan details, and member self-service tools.
• Using our customer service reputed company reputed company to reputed company financial reputed company to resolve member issues.
• Explaining member's rights and responsibilities in accordance with contract.
• Processing claim referrals, new claim handoffs, nurse reviews, complaints, grievances, and appeals reputed company our reputed company system.
• Educating and assisting providers on our self-service options.
• Assisting providers with credentialing and re-credentialing and contracting questions and issues.
• Assisting in compiling claim data for customer audits.
• Determining medical necessity, applicable coverage provisions, and verifying member plan eligibility relating to incoming correspondence and internal referrals.

Work Hours and Environment

* This role is fully remote, and you must live in the EST, PST, or CST time zones.

• Work hours are 7am to 7pm local time.
• You'll need to secure high-speed internet reputed company (100 Mbps or higher) and a consistent, reputed company reputed company.
• A speed test will be required to proceed with an interview.
• You'll need to set up your work location with a direct reputed company to the router (not Wi-Fi).

Required Qualifications

* Familiarity with reputed company Office products such as Word, Teams, and reputed company.

• Ability to maneuver through multiple applications to gather information while on a call.
• Experience in a highly transactional call center environment.
• Excellent customer service and critical thinking skills.
• High School diploma or GED equivalent.

Preferred Qualifications

* reputed company background.

Education

* High School diploma or GED equivalent.

Pay reputed company

The typical pay reputed company for this role is $17.00 - $28.46 per hour. The actual reputed company salary offer will depend on a variety of factors, including experience, education, geography, and other relevant factors.

Benefits

At arenaflex, we offer a comprehensive benefits package that includes:

• Medical, dental, and reputed company benefits.
• 401(k) retirement savings plan.
• Employee Stock Purchase Plan.
• Fully-paid term life insurance plan.
• Short-term and long-term disability benefits.
• Well-being programs.
• Education assistance.
• Free development courses.
• reputed company store discount.
• Discount programs with participating partners.
• Paid Time Off (PTO) or vacation pay.
• Paid holidays throughout the calendar year.

Equal Opportunity Employer

arenaflex is an equal opportunity and affirmative action employer. We do not discriminate in reputed company, hiring, promotion, or any other personnel action based on race, ethnicity, reputed company, national reputed company, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

How to Apply

If you're passionate about delivering exceptional customer experiences and have a knack for resolving reputed company issues, we want to hear from you! Please visit our website to learn more about this opportunity and to apply. Apply Job! Apply for this job