At arenaflex, we're dedicated to making great healthcare affordable, improving the health of patients, and restoring the fulfillment of practicing medicine for providers. As a remote Bilingual (Spanish) Customer Service Representative, you'll play a vital role in delivering exceptional customer experiences and ensuring the accurate and timely handling of client and member calls.
**About arenaflex**
arenaflex is a data-powered, performance-driven healthcare company that leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Our goal is to empower our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. With a physician-led approach, we're committed to operational excellence and making a meaningful impact in the healthcare industry.
**Job Description**
As a Bilingual (Spanish) Customer Service Representative, you'll be responsible for:
* Assuring the accurate and timely handling of client and member calls with total follow through
* Providing excellent customer service
* Answering client and provider questions, including claims payment, status, and coverage information
* Interpreting client health plan protocol
* Backup to the claims processing area by assisting with reports and workflow queues as assigned
* Checking tracer documentation
* Maintaining accurate and complete call documentation
* Maintaining a high level of professionalism
* Returning incoming calls
* Other duties as assigned
**Key Responsibilities**
* Handle high-volume calls in a timely and efficient manner
* Provide accurate and timely information to clients and providers
* Utilize multiple systems, including Teams and Excel, to manage calls and documentation
* Collaborate with the claims processing team to resolve issues and improve workflow
* Maintain accurate and complete call documentation
* Meet quality standards and performance metrics
**Qualifications**
* Bilingual (English/Spanish) required
* Minimum of 2 years experience in a high-volume healthcare call center required
* Knowledge of healthcare claims review or processing required
* Health Care/Health insurance background required
* Experience with BCBS HMOI or other insurance plans a plus
* Use of multiple systems, including Teams and Excel, Jira is a plus
* Excellent verbal and written communication skills
* Must be available for an 8-hour shift between 8am to 6pm Central time
**Preferred Qualifications**
* HMO Managed care Medicare Advantage experience
**What We Offer**
* Competitive salary range: $19.00 to $20.00 per hour, paid bi-weekly
* Comprehensive benefits package, including:
+ Work from Home: arenaflex is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
+ Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
+ Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
+ Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
+ Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
+ Take Time for Yourself: We offer Flexible Time Off tailored to meet your needs and the needs of the business, helping you achieve work-life balance and meet your personal goals.
+ Support Your New Family: Welcoming a new family member takes time and commitment. arenaflex offers paid parental leave to give you the time you need.
+ Learn and Grow: Your professional growth is important to us. arenaflex offers various resources dedicated to your learning and development to advance your career with us.
**Equal Opportunity Employer**
arenaflex is an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.
**Commitment to Protection of Patient and Company Data**
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under arenaflex's custodianship as well as arenaflex Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.
**Are You the One We're Looking For?**
If you believe you have what it takes, submit your application without delay. We are keen to hear from talented candidates like you.